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Individual

KARA ANNE KWIATKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6883
(803) 434-8450
(803) 434-0137
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
87689
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34-0714357
AKRON CHILDREN'S HOSPITAL
OH
Enumeration date
03/30/2016
Last updated
07/15/2022
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