Individual
KASEY ANN VENDEMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2498
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5262PA
—
SC
Enumeration date
06/24/2019
Last updated
09/01/2022
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