Kishimjan Beishenalievna Ketner (NPI# 1033651526, PAC ID# 4082995071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033651526 |
| PAC ID by PECOS | 4082995071 |
| Professional Enrollment ID | I20170105002345 |
| Full Name | Kishimjan Beishenalievna Ketner |
| Organization Legal Name | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| Address |
2290 Henry Tecklenburg Dr Charleston SC 29414-7802 |
| Phone Number | 8434103770 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092080671 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 | 8434103770 | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| 20 Hawthorne Park Ct, Greenville, SC 29615-3194 | 8644216815 | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| 23 Southpointe Dr, Greenville, SC 29607-5956 | 8644216816 | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| 25 Southpointe Dr, Greenville, SC 29607-5956 | 8437669898 | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| Organization Legal Name | SOUTH CAROLINA POST-ACUTE MEDICAL SERVICES 1 PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Francis Thompson Jr. | Psychiatry | South Carolina Post-acute Medical Services 1 PC | 1 Still Hopes Dr, West Columbia, SC 29169-7164 |
| Taylor N Crews | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 1501 Secessionville Rd, Charleston, SC 29412-8236 |
| Jamie Davis Freelin | Hospitalist | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Monica M Denoux | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 20 Hawthorne Park Ct, Greenville, SC 29615-3194 |
| Mitchell L Durham | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Sofia Jeciel Umali-jhanji | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Cynthia W Boswell | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Louis Joseph Gallagher | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Sherry Sue Kostman | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Edward S Warren | Geriatric Medicine | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Street Address |
2290 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-7802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Davis Freelin | Hospitalist | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Mitchell L Durham | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Sofia Jeciel Umali-jhanji | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Cynthia W Boswell | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Louis Joseph Gallagher | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Sherry Sue Kostman | Psychologist, Clinical | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Edward S Warren | Geriatric Medicine | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Michele I Patton | Nurse Practitioner | South Carolina Post-acute Medical Services 1 PC | 2290 Henry Tecklenburg Dr, Charleston, SC 29414-7802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy H Lawton | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Sherrill G Bradsher | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Anthony C Azzolino | Chiropractic | 2352 Ashley River Rd, Charleston, SC 29414-4752 | |
| Marcus R Hostetler | Chiropractic | 2411 Savannah Hwy, Suite 3, Charleston, SC 29414-5320 | |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Roy D Mckinney | Optometry | 3050 Ashley Town Ctr Dr, Charleston, SC 29414-5664 | |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Find all physicians in zip 29414 | |||
| City | CHARLESTON |
| Zip Code | 29414 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kishimjan Beishenalievna Ketner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.