Individual provider · Type 1 NPI

Jasmine Kyla Polkowske, MD

Diagnostic Radiology Physician · Charleston, SC

NPI number 1124887617 Active

Practice location

169 Ashley Avenue
Charleston, SC 29425

Mailing address

96 Jonathan Lucas, Msc 323
Charleston, SC 29425-3230

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMMD.95051 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1124887617

Jasmine Kyla Polkowske, MD's National Provider Identifier is 1124887617, issued on Mar 18, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charleston, SC. The record was last updated on Jun 30, 2025.