Kristin Wike Huntley, PA-C
Physician Assistant, Medical in Florence, SC. Individual provider (NPI-1).
NPI number1972160984
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1972160984
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kristin Wike Huntley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2019
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 3209 | SC | Yes |
| 363A00000X | Physician Assistant | 3209 | SC |
Practice location
360 N Irby StFlorence, SC 29501-2808
Phone 843-667-9414 · Fax 843-667-1362
Mailing address
360 N Irby StFlorence, SC 29501-2808
Phone 843-667-9414 · Fax 843-667-1362
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