Individual
MITHUN REDDY KES KUMBHARANAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 E HOSPITAL ST, MANNING, SC 29102-3149
(803) 435-8828
Mailing address
50 E HOSPITAL ST, MANNING, SC 29102-3149
(803) 435-8828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL95087
SC
Other
Enumeration date
08/28/2024
Last updated
07/01/2025
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