Individual
KIARA TYSHANA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 TAYLOR ST STE 1A, COLUMBIA, SC 29201-2946
(803) 434-4790
(803) 434-4799
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4896
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/24/2023
Last updated
10/02/2023
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