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NPI Code Detail

MEDICARE: MRS. KATHRYN ANN SCHISLER PA-C

MEDICARE:  MRS. KATHRYN ANN SCHISLER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601003952MI
2363AM0700XMedical Physician Assistant5011SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508946765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN ANN SCHISLER PA-C
Provider Business Mailing Address
First Line : 300 SINGLETON RIDGE RD
Second Line : ATTN CREDENTIALING
City : CONWAY
State : SC
Zip : 29526-0021
Country : US
Telephone Number : 843-234-6946
Fax Number :
Provider Business Practice Location Address
First Line : 1301 CREEL ST
Second Line :
City : CONWAY
State : SC
Zip : 29527-5018
Country : US
Telephone Number : 843-248-4414
Fax Number : 843-248-3781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 11/15/2024

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Directions to “ MRS. KATHRYN ANN SCHISLER PA-C” Practice Location

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