SearchSouth Carolina183500000X

Kenneth Cooper

NPI 1184029746 · on the registry since 2014

Practice

Address
1260 E Main St
Rock Hill, SC 29730
Phone
(803) 327-2049
Fax
(803) 327-0092
Organisation at this address
Food Lion Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina