Kaelynn Renee Gaboury
Physician Assistant in Charleston, SC. Individual provider (NPI-1).
NPI number1689438293
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1689438293
- Entity type
- Individual (NPI-1)
- Name
- Kaelynn Renee Gaboury
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2024
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
171 Ashley AveCharleston, SC 29425-5691
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
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