Dr. Kenneth Carl Staples Jr., D.O.
Emergency Medicine in Mullins, SC. Individual provider (NPI-1).
NPI number1265824809
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1265824809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Carl Staples Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2015
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 82113 | SC | Yes |
Practice location
2829 E Highway 76Mullins, SC 29574-6035
Phone 843-431-2000
Mailing address
Po Box 603898Charlotte, NC 28260-3898
Phone 843-792-6200
Other practice locations
5100 W Broad St
Columbus, OH 43228-1607
Columbus, OH 43228-1607
Phone 614-544-1000 · Fax 614-544-1751
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Other Emergency Medicine Physician providers in Mullins, SC
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- Sandy Tyrone Cooper, MDNPI 1851369698
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- Stuart Alva Smith, M.D.NPI 1841299583
All 7 Emergency Medicine Physician providers in Mullins · All 255 providers in Mullins
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