National Provider Identifier Database

KERSHAWHEALTH
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

KERSHAWHEALTH
1315 ROBERTS ST
CAMDEN, SC29020-3737
Phone: 803-432-4311
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for KERSHAWHEALTH

NPI Number 1689878357
Legal business name
LBN
KERSHAWHEALTH
Authorized official DONNIE WEEKS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/14/2007
Last updated 09/23/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: ID#005277
  • SC Medicaid: DPE066

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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