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General NPI Number Information
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NPI Number | 1437068558
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Entity Type | Individual
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Provider Name | KATHERINE KISER
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 2011 BROADBANK CT
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City | RIDGEVILLE
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State | SC
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Zip | 29472-8344
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Country | US
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Telephone | 843-460-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 1773 SHADY NOOK FARM
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City | YORK
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State | SC
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Zip | 29745-8811
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Country | US
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Telephone | 843-469-0488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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