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Individual

DR. KRISTEN CAPITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-8972
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39790
SC

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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