Ries, Kenneth Lange
Ries, Kenneth Lange is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ries, Kenneth Lange can be contacted via phone (843) 777-2064.Contact Information
Primary practice address
555 E Cheves St
Florence SC 29506-2617
Phone: (843) 777-2064
Fax: (843) 777-2071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21867 | South Carolina |
Profile Details
| NPI number | 1790745123 |
|---|---|
| LBN Legal business name | Ries, Kenneth Lange |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 28th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790745123 | NPPES |
| South Carolina | MEDICAID | T59255 |
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