Individual
KHARA ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4044027-1206
UT
363A00000X
Physician Assistant
Primary
6169
SC
Other
Enumeration date
06/18/2024
Last updated
08/11/2026
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