Individual
KATHLEEN BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3314 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2204
(803) 791-3494
(803) 739-9854
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-3494
(803) 794-4317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22174
SC
Other
Enumeration date
08/23/2018
Last updated
03/08/2023
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