KATHERINE GANNON KIESEL

CHARLESTON, SC
NPI1699305862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  23598)
Enumeration Date2020-01-16
Last Update Date2020-01-16
Business Address
KATHERINE GANNON KIESEL NP
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-573-2535
Mailing Address
KATHERINE GANNON KIESEL NP
4975 LACROSS RD STE 158
NORTH CHARLESTON, SC 29406-6532
Phone number: 843-573-2535