NPI 1063607646

Mol Ky, DO

Practitioner General Practice Physician Fairfax, SC

Practice location

Address: 333 Revolutionary Trail, Fairfax, SC 29827
Phone: (803) 632-2533
Mailing address: PO Box 990 333 Revolutionary Trail, Fairfax, SC 29827

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD01101TL (SC)

Other General Practice providers in South Carolina →

Registry record

NPI: 1063607646
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.