Individual
DR. KATHLEEN L. ANTONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 740-3584
Mailing address
2720 SUNSET BLVD, ATTN: MANAGED CARE DPT., WEST COLUMBIA, SC 29169-4810
(803) 936-7679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28241
SC
Other
Enumeration date
07/21/2006
Last updated
08/13/2025
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