KATHERINE GANNON KIESEL


Address: 2067 Charlie Hall Blvd, Charleston, SC 29414-5834
Phone: 8435732535

KATHERINE GANNON KIESEL (NPI# 1699305862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699305862
Entity Type Individual
Full Name KATHERINE GANNON KIESEL
Credential NP
Practice Address 2067 Charlie Hall Blvd
Charleston
SC 29414-5834
Mailing Address 4975 Lacross Rd Ste 158
North Charleston
SC 29406-6532
Practice Telephone 8435732535
Practice Fax Number 8435732534
Mailing Telephone 8435732535
Mailing Fax Number 8433715507
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
23598 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2067 CHARLIE HALL BLVD
City CHARLESTON
State SC
Zip Code 29414-5834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770700759 Coastal Pediatric Associates, P.a. Psychologist 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 2007-04-19
1255979738 Gabrielle Amarante Nurse Practitioner 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 2019-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
Find all providers in zip 29414

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912515511 Naajah Hughes Nurse Practitioner 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 2020-07-20
1528476793 Kacie Owens Nurse Practitioner 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389 2014-07-31
1124214895 Elizabeth Zimmerman Thelan Nurse Practitioner 2051 Charlie Hall Blvd., Charleston, SC 29414 2007-09-17
1255979738 Gabrielle Amarante Nurse Practitioner 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 2019-12-16
1396388393 Jessica Kristen Gardner Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8900 2019-10-22
1114426814 Erin Hill Nurse Practitioner 1871 Savage Rd, Charleston, SC 29407-4726 2018-02-08
1528566932 Mckenzie Clark Nurse Practitioner 51 Nassau St, Charleston, SC 29403-5513 2018-01-31
1255842910 Vanessa Lee Adams Nurse Practitioner 165 Ashley Ave, Charleston, SC 29425-8905 2017-10-20
1720524556 Christine Lee Butler Nurse Practitioner 1941 Savage Rd Ste 100e, Charleston, SC 29407-4788 2017-01-18
1487197844 Colleen Cusick Yazdi Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8908 2016-12-02
Find all providers in CHARLESTON

Competitor

Search similar providers

City CHARLESTON
Zip Code 29414

Improve Information

Please comment or provide details below to improve the information on KATHERINE GANNON KIESEL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches