Bukowsky, Kathleen Davis

Bukowsky, Kathleen Davis is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bukowsky, Kathleen Davis can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1740 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1740 South Carolina

Profile Details

NPI number 1689944373
LBN Legal business name Bukowsky, Kathleen Davis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Mar 13th, 2020 - about 6 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 1689944373 NPPES
South Carolina Other D043 ARCIS HEALTHCARE GROUP MEDICARE PTAN #
South Carolina Other GP6337 ARCIS HEALTHCARE GROUP MEDICARE PTAN #

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