NPI 1114522547

Kawonna Nicole Maple

Practitioner Contractor Cordova, SC

Practice location

Address: 109 Justine CT, Cordova, SC 29039-9196
Phone: (803) 614-5088
Mailing address: 223 Mockingbird Dr, Cordova, SC 29039-9641

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1114522547
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 2020

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.