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1033807052
SHANNON MARIE KENNY
COLUMBIA, SC
NPI
1033807052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4864)
Enumeration Date
2023-04-27
Last Update Date
2023-06-05
Business Address
SHANNON MARIE KENNY
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203-6839
Phone number: 803-434-8800
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Mailing Address
SHANNON MARIE KENNY
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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