KENNETH NICHOLAS WHITESIDES

CHARLESTON, SC
NPI1932838448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL88127)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
KENNETH NICHOLAS WHITESIDES MD
135 CANNON ST, SUITE 405 MSC 192
CHARLESTON, SC 29425
Phone number: 843-876-2912
Mailing Address
KENNETH NICHOLAS WHITESIDES MD
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Phone number: