Individual provider · Type 1 NPI

Kristen Michelle Deupree, PA-C

Physician Assistant · Little River, SC

NPI number 1063167328 Active

Practice location

3980 Highway 9 E Ste 110
Little River, SC 29566-8163

Call (843) 399-3100 Map

Mailing address

506 E Cheves St Ste 202
Florence, SC 29506-2616

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5923 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063167328

Kristen Michelle Deupree, PA-C's National Provider Identifier is 1063167328, issued on Feb 15, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Little River, SC. The record was last updated on Sep 11, 2025.