Kearsley, Latisha
Kearsley, Latisha is an individual health care provider with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kearsley, Latisha can be contacted via phone (843) 663-8000.Contact Information
Primary practice address
4303 Live Oak Dr
Little River SC 29566-9138
Phone: (843) 663-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8315 | South Carolina |
Profile Details
| NPI number | 1114212941 |
|---|---|
| LBN Legal business name | Kearsley, Latisha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2011 |
| Last updated | Jan 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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