Altobello, Kenna Courtney Stephanie

Altobello, Kenna Courtney Stephanie is an individual health care provider with primary practice located at 104 Saluda Pointe Dr , Lexington SC 29072-7295. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Altobello, Kenna Courtney Stephanie can be contacted via phone (803) 296-7846.

Contact Information

Primary practice address
104 Saluda Pointe Dr Lexington SC 29072-7295
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041323580 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 18805 South Carolina

Profile Details

NPI number 1851716708
LBN Legal business name Altobello, Kenna Courtney Stephanie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2014
Last updated Jun 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851716708 NPPES
South Carolina MEDICAID NP4873

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