Individual
DR. KEVIN M RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
(803) 951-9100
(803) 951-1910
Mailing address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
(803) 951-9100
(803) 951-1910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3453-0523PD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3453
—
SC
Enumeration date
11/28/2006
Last updated
07/09/2007
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