Individual
ASHLEY LYNN KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COURTENAY DR, CHARLESTON, SC 29425-4001
(843) 792-2300
Mailing address
25 COURTENAY DR, CHARLESTON, SC 29425-8911
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
27851
SC
Other
Enumeration date
01/16/2023
Last updated
07/30/2024
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