Individual
KAITLIN MOSTOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
913 BOWMAN RD, MT PLEASANT, SC 29464-3235
(843) 856-9530
Mailing address
192 WENTWORTH ST APT A, CHARLESTON, SC 29401-6209
(843) 297-2916
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/31/2023
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