Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Carl Staples Jr., DO

Individual provider Emergency Medicine Physician · NPI 1265824809

Dr. Kenneth Carl Staples Jr., DO is an Emergency Medicine Physician in Mullins, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2829 E Highway 76
Mullins, SC 29574-6035
Phone: (843) 431-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5100 W Broad St, Columbus, OH 43228-1607 — (614) 544-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 82113 (SC)

Record details

NPI number1265824809
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing addressPo Box 603898, Charlotte, NC 28260-3898

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