MEDICARE: LISA KESTER

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
1	163WP2201X	Ambulatory Care Registered Nurse	285309	SC

General Provider Information

NPI Number	:	1922964766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA KESTER

Provider Business Mailing Address
First Line	:	310 HAGLEY DR
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-6981
Country	:	US
Telephone Number	:	276-340-2029
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 HAGLEY DR
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-6981
Country	:	US
Telephone Number	:	276-340-2029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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Directions to “ LISA KESTER ” Practice Location

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