Individual
KENNEDY TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3045 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 747-7242
Mailing address
922 COMET CREEK LN, SUMMERVILLE, SC 29486-8045
(803) 474-2043
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1194448
SC
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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