Individual
KEVIN HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2095 HENRY TECKLENBURG DRIVE, CHARLESTON, SC 29414-5734
(843) 402-1000
Mailing address
PO BOX 10760, WESTMINSTER, CA 92685-0760
(800) 396-3437
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226PA
—
SC
Enumeration date
07/10/2006
Last updated
03/21/2008
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