Individual
MS. JENNIFER LYNN KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5304
(864) 599-0791
(864) 599-0791
Mailing address
2400 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5304
(864) 599-0791
(864) 599-0791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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