Provider Demographics
NPI:1487622106
Name:HURLEY, STEVEN KENNETH (IDC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:KENNETH
Last Name:HURLEY
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NNPTC CIR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-6324
Mailing Address - Country:US
Mailing Address - Phone:843-574-8242
Mailing Address - Fax:
Practice Address - Street 1:101 NNPTC CIR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-6324
Practice Address - Country:US
Practice Address - Phone:843-574-8242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other