Individual
MRS. SUSAN B KANIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-7270
(864) 241-9211
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0774
—
SC
Enumeration date
05/18/2006
Last updated
05/12/2016
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