Individual
KIAH LYNN CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 HOWLE AVE, CHARLESTON, SC 29412-2449
(833) 225-3558
Mailing address
1662 S WOLVERINE WAY, WASHINGTON, UT 84780-3638
(530) 613-4662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13676616-1206
UT
363A00000X
Physician Assistant
54827
CA
363AM0700X
Medical Physician Assistant
54827
CA
363AS0400X
Surgical Physician Assistant
54827
CA
Other
Enumeration date
08/28/2017
Last updated
07/17/2024
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