Individual
KATHERINE GANNON KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2016 1ST AVE, SUMMERVILLE, SC 29486-0408
(843) 216-0201
(843) 284-8303
Mailing address
2016 1ST AVE, SUMMERVILLE, SC 29486-0408
(843) 216-0201
(843) 284-8303
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23598
SC
Other
Enumeration date
01/16/2020
Last updated
01/03/2025
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