Individual
MRS. KATHRYN ANN SCHISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 CREEL ST, CONWAY, SC 29527-5018
(843) 248-4414
(843) 248-3781
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-0021
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601003952
MI
363AM0700X
Medical Physician Assistant
Primary
5011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6489PA
—
SC
Enumeration date
10/16/2006
Last updated
11/15/2024
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