NPI 1083966246

Kathryn L Childress, PAAA

Practitioner Anesthesiologist Assistant Charleston, SC

Practice location

Address: 2095 Henry Tecklenburg Dr, Charleston, SC 29414
Phone: (843) 402-1436
Fax: (843) 402-1833
Mailing address: PO Box 603484, Charlotte, NC 28260-3484

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 86 (SC)

Other Anesthesiologist Assistant providers in South Carolina →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 006603 (GA)

Registry record

NPI: 1083966246
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2012
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.