Eden, Kate S

Eden, Kate S is an individual health care provider with primary practice located at 2093 Henry Tecklenburg Dr Ste 200E , Charleston SC 29414-5742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Eden, Kate S can be contacted via phone (843) 958-2500.

Contact Information

Primary practice address
2093 Henry Tecklenburg Dr Ste 200E Charleston SC 29414-5742
Phone: (843) 958-2500
Fax: (843) 958-2680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1389 South Carolina

Profile Details

NPI number 1225142300
LBN Legal business name Eden, Kate S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 23rd, 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 1225142300 NPPES
South Carolina MEDICAID 0758PA

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