Individual
KACI MICHELE MUNDHENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201-2955
(803) 929-2955
(803) 929-2979
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26415
SC
Other
Enumeration date
02/15/2022
Last updated
08/22/2022
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