| NPI | 1487887949 |
|---|---|
| Former Legal Business Name | BOBBY P KEARNEY, MD PLLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN H LARGE Billing Manager 803-417-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 9300179) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2021-02-13 |