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Individual

KATHLEEN MARIE KEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1655 BERNARDIN AVE STE 350, COLUMBIA, SC 29204-2039
(803) 253-7575
(855) 257-9322
Mailing address
1655 BERNARDIN AVE, STE 350, COLUMBIA, SC 29204-2039
(803) 253-7575
(855) 257-9322

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/04/2020
Last updated
03/26/2021
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