Individual
KATHRYN ANNE RYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1655 BERNARDIN AVE STE 220, COLUMBIA, SC 29204-2044
(803) 409-7170
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(843) 876-1344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3361
SC
363AM0700X
Medical Physician Assistant
2991
TN
363AM0700X
Medical Physician Assistant
3361
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4283PA
—
SC
Enumeration date
03/03/2016
Last updated
09/05/2025
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