Individual
MRS. JAN DOWNER KIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E MAIN ST, LAKE CITY, SC 29560-2116
(843) 374-3353
Mailing address
PO BOX 1389, LAKE CITY, SC 29560-1389
(843) 374-3353
(843) 374-7245
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
208722
SC
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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