DR. Kenneth Carl Staples JR., D.O.

NPI #1265824809 in Mullins, South Carolina

Provider Information

NPI Number: 1265824809
Entity Type: Individual
Name: DR. Kenneth Carl Staples JR., D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Feb 18, 2015
Last Updated: Jan 26, 2021

Practice Location

Address: 2829 E HIGHWAY 76
City: Mullins
State: South Carolina
ZIP Code: 29574-6035
Phone: (843) 431-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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