Kenneth Michael Desart
Surgeon Vascular Surgeon
1327 Ashley River Rd
Charleston
, South Carolina 29407-5384
Kenneth Michael Desart
Surgeon Vascular Surgeon
1327 Ashley River Rd
Charleston
, South Carolina 29407-5384
(843) 577-4551
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Kenneth Michael Desart
- 1327 Ashley River Rd
- Charleston, SC
- Zip : 29407-5384
- Phone : (843) 577-4551
Second Address
- Kenneth Michael Desart
- 1327 Ashley River Rd
- Charleston, SC
- Zip : 29407-5384
- Phone : (843) 577-4551
Reviews
FAQs
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What type of doctor is Kenneth Michael Desart
In what state does Kenneth Michael Desart practice in?
Where is Kenneth Michael Desart ’s practice located?
What is Kenneth Michael Desart ’s gender?
Is Kenneth Michael Desart a sole practitioner?
Is Kenneth Michael Desart accepting new patients?
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Does Kenneth Michael Desart accept insurance?
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What is Kenneth Michael Desart ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 13670 | FL |
| N | 208600000X | Surgeon | 13670 | FL |
| N | 208200000X | Surgeon | 83835 | SC |
| N | 208600000X | Surgeon | 83835 | SC |
| Y | 2086S0129X | Vascular Surgeon | 83835 | SC |
National Provider Identifier
| NPI | 1154556603 |
|---|---|
| Provider Name | Kenneth Michael Desart |
| First Address | Charleston, SC 29407-5384 |
| Second Address | Charleston, SC 29407-5384 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2009 |
| Last Update Date | 26/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 022646300 | (05) | FL |
| 838357 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.