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Mol Ky, DO
General Practice Physician in Fairfax, South Carolina
NPI 1063607646

Mol Ky is a General Practice Physician based in Fairfax, SC. Mol Ky practices in Fairfax, SC and has the professional credentials of DO. The NPI Number for Mol Ky is 1063607646 and holds a License No. MD01101TL (South Carolina).

The current practice location address for Mol Ky is 333 Revolutionary Trail, Fairfax, SC and can be reached out via phone at 803-632-2533.

Location: 333 Revolutionary Trail, Fairfax, SC, 29827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063607646
Provider Name
Mol Ky
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
333 Revolutionary Trail, Fairfax, SC, 29827
Phone Number
803-632-2533
Fax Number
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 Revolutionary Trail
City
Fairfax
State
South Carolina
Zip
29827
Phone Number
803-632-2533
Fax Number
person
Provider Business Mailing Address Details
Address
333 Revolutionary Trail
City
Fairfax
State
South Carolina
Zip
29827
Phone Number
803-632-2533
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD01101TL (South Carolina)
Definition
Definition to come...
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