Individual
MR. KENNETH M STABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
2065 SAVANNAH HWY, SUITE C, CHARLESTON, SC 29407-2225
(843) 571-7300
(843) 571-1080
Mailing address
2065 SAVANNAH HWY, SUITE C, CHARLESTON, SC 29407-2225
(843) 571-7300
(843) 571-1080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
351
SC
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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