person
Katherine Gannon Kiesel, NP
Pediatric Nurse Practitioner in Charleston, South Carolina
NPI 1699305862

Katherine Gannon Kiesel is a Pediatric Nurse Practitioner based in North Charleston, SC and is specialized in Pediatrics. Katherine Gannon Kiesel practices in Charleston, SC and has the professional credentials of NP. The NPI Number for Katherine Gannon Kiesel is 1699305862 and holds a License No. 23598 (South Carolina).

The current practice location address for Katherine Gannon Kiesel is 2067 Charlie Hall Blvd, Charleston, SC and can be reached out via phone at 843-573-2535 and via fax at 843-573-2534.

Location: 2067 Charlie Hall Blvd, Charleston, SC, 29406-6532
person
Provider Profile Details
NPI Number
1699305862
Provider Name
Katherine Gannon Kiesel
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2067 Charlie Hall Blvd, Charleston, SC, 29406-6532
Phone Number
843-573-2535
Fax Number
843-573-2534
Provider Enumeration Date
01/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2067 Charlie Hall Blvd
City
State
Zip
29414-5834
Phone Number
843-573-2535
Fax Number
843-573-2534
person
Provider Business Mailing Address Details
Address
2067 Charlie Hall Blvd
City
State
Zip
29414-5834
Phone Number
843-573-2535
Fax Number
843-573-2534
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
23598 (South Carolina)
Definition
Definition to come...
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