Individual
KATHLEEN DAVIS BUKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1740
SC
363AM0700X
Medical Physician Assistant
Primary
1740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D043
ARCIS HEALTHCARE GROUP MEDICARE PTAN #
SC
01
—
GP6337
ARCIS HEALTHCARE GROUP MEDICAID ID #
SC
Enumeration date
01/11/2012
Last updated
03/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us