Provider Demographics
NPI:1902577455
Name:K & M CARE PC
Entity Type:Organization
Organization Name:K & M CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-819-4021
Mailing Address - Street 1:1056 FELTON ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERTON
Mailing Address - State:SC
Mailing Address - Zip Code:29148-7169
Mailing Address - Country:US
Mailing Address - Phone:843-819-4021
Mailing Address - Fax:
Practice Address - Street 1:1056 FELTON ST
Practice Address - Street 2:
Practice Address - City:SUMMERTON
Practice Address - State:SC
Practice Address - Zip Code:29148-7169
Practice Address - Country:US
Practice Address - Phone:843-819-4021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty