Childress, Kathryn L

Childress, Kathryn L is an individual health care provider with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Childress, Kathryn L can be contacted via phone (843) 402-1436.

Contact Information

Primary practice address
2095 Henry Tecklenburg Dr Charleston SC 29414
Phone: (843) 402-1436
Fax: (843) 402-1833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 006603 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 86 South Carolina

Profile Details

NPI number 1083966246
LBN Legal business name Childress, Kathryn L
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2012
Last updated Jun 24th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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