KEVIN USIF ENNIS

BEAUFORT, SC
NPI1063412740
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC  035)
Enumeration Date2005-07-26
Last Update Date2007-07-08
Business Address
MR. KEVIN USIF ENNIS A.T.,C.
1076 RIBAUT RD SUITE 102
BEAUFORT, SC 29902-5476
Phone number: 843-521-1970
Mailing Address
MR. KEVIN USIF ENNIS A.T.,C.
717 JANE WAY
BEAUFORT, SC 29902-6009
Phone number: 843-252-1142