Individual
MRS. KAITLYN BEARD COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 DOG ISLAND RD, BISHOPVILLE, SC 29010-6908
(843) 598-4879
Mailing address
1482 BARRINEAU RD, LAKE CITY, SC 29560-8745
(843) 598-4879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240103
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
26138
SC
Other
Enumeration date
06/01/2021
Last updated
06/06/2022
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