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Individual

NATHAN KINGSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
325 MATUSKOVIC DR, CHARLESTON, SC 29414-8213
(715) 604-2711
Mailing address
325 MATUSKOVIC DR, CHARLESTON, SC 29414-8213
(715) 604-2711

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31803
SC

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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