Individual
DR. KEVIN O WESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1749 MARSHALL ST, COLUMBIA, SC 29203-6952
(803) 252-1801
(803) 462-0312
Mailing address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14297
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142973
—
SC
Enumeration date
11/22/2005
Last updated
07/18/2019
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