Individual
KYRSTIN PONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2350
(803) 791-2520
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2350
(803) 791-2520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029088
NY
363A00000X
Physician Assistant
Primary
4699
SC
Other
Enumeration date
09/12/2022
Last updated
02/28/2025
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