Individual
KATHY NICOLE CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
14 PECAN CIR, YORK, SC 29745-1466
(803) 792-1857
Mailing address
14 PECAN CIR, YORK, SC 29745-1466
(803) 792-1857
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
140846
SC
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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