MR. Kevin Usif Ennis, A.T.,C.
NPI #1063412740 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1063412740
- Entity Type
- Individual
- Name
- MR. Kevin Usif Ennis, A.T.,C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.,C.
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1076 RIBAUT RD
- Address 2
- SUITE 102
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-5476
- Phone
- (843) 521-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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