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Individual

MR. KENNETH MICHAEL MORGANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Mailing address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2642
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN1597
SC
Enumeration date
12/04/2006
Last updated
06/08/2012
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