Individual
KASEY CRISTINE O'SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, PA-C, ATC
Contact information
Practice address
125 DOUGHTY ST STE 280, CHARLESTON, SC 29403-5727
(843) 720-8317
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A00635
MD
363AS0400X
Surgical Physician Assistant
Primary
5757
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2014
Last updated
04/29/2025
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