| Dr Jonathan Braun Ksor, DPM | |
|
2502 Broad St, Camden, SC 29020-2238 | |
| (803) 425-5510 | |
| (803) 432-4776 |
| Full Name | Dr Jonathan Braun Ksor |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 23 Years |
| Location | 2502 Broad St, Camden, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326254848 | NPI | - | NPPES |
| PD6149 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO3095 (Florida) | Secondary |
| 213E00000X | Podiatrist | POD.614 POD (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kershawhealth | Camden, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Podiatry Clinic Llc | 5092846774 | 2 |
| Provider Name | Carolina Podiatry Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932421385 PECOS PAC ID: 5092846774 Enrollment ID: O20100624000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Braun Ksor, DPM 2502 Broad St, Camden, SC 29020-2238 Ph: (803) 425-5510 | Dr Jonathan Braun Ksor, DPM 2502 Broad St, Camden, SC 29020-2238 Ph: (803) 425-5510 |
Camden Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 | |
John Ksor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2502 Broad St, Camden, SC 29020 Phone: 803-425-5510 | |
Dr. Richard A Burnell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 |