Individual
SAMANTHA RAY KINDSVATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
179 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2300
Mailing address
179 ASHLEY AVE, CHARLESTON, SC 29425-8908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL97180
SC
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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