Individual
KENZIE JANE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5108 W DOLPHIN ST, NORTH CHARLESTON, SC 29405-4058
(843) 364-3791
Mailing address
5108 W DOLPHIN ST, NORTH CHARLESTON, SC 29405-4058
(843) 364-3791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247901
SC
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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