Individual
KELVIN D. DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
207 COMMERCE AVE., CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Mailing address
P.O. BOX 918, 1035 CHERAW ST., BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
07/14/2014
Last updated
07/14/2014
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