Individual
PHILLIP BERNARD KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 WALKING LN, LEXINGTON, SC 29073-9765
(202) 834-1492
Mailing address
433 WALKING LN, LEXINGTON, SC 29073-9765
(202) 834-1492
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-1031
DHEC LICENSE
SC
Enumeration date
03/28/2019
Last updated
12/30/2019
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