Individual
ASHLEY STOVER KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR, STE 350, COLUMBIA, SC 29203-6877
(803) 434-6690
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1813
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557PA
—
SC
Enumeration date
08/15/2012
Last updated
03/25/2022
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