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Andre Johnathan Kennedy, PA
Physician Assistant in West Columbia, South Carolina
NPI 1962900357

Andre Johnathan Kennedy is a Physician Assistant based in Huntersville, SC. Andre Johnathan Kennedy practices in West Columbia, SC and has the professional credentials of PA. The NPI Number for Andre Johnathan Kennedy is 1962900357 and holds a License No. 2832 (South Carolina).

The current practice location address for Andre Johnathan Kennedy is 111 W Hospital Dr, West Columbia, SC and can be reached out via phone at 803-796-8515 and via fax at 803-796-8515.

Location: 111 W Hospital Dr, West Columbia, SC, 28078-9120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962900357
Provider Name
Andre Johnathan Kennedy
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
111 W Hospital Dr, West Columbia, SC, 28078-9120
Phone Number
803-796-8515
Fax Number
803-796-8515
Provider Enumeration Date
01/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2832 01 SC SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION
institution
Provider Business Practice Location Address Details
Address
111 W Hospital Dr
City
West Columbia
State
South Carolina
Zip
29169-3405
Phone Number
803-796-8515
Fax Number
803-796-8515
person
Provider Business Mailing Address Details
Address
111 W Hospital Dr
City
West Columbia
State
South Carolina
Zip
29169-3405
Phone Number
803-796-8515
Fax Number
803-796-8515
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2832 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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