Individual provider · Type 1 NPI
Kennasia Coaxum
Licensed Practical Nurse · Goose Creek, SC
NPI number
1093641763
Active
Practice location
469 Gianna Ln
Goose Creek, SC 29445-3672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 57100 (SC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Goose Creek
About NPI 1093641763
Kennasia Coaxum's National Provider Identifier is 1093641763, issued on Jun 22, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Goose Creek, SC. The record was last updated on Jun 22, 2026.