Individual provider · Type 1 NPI

Kaitlyn Waldo

Surgical Physician Assistant · Lexington, SC

NPI number 1679369185 Active

Practice location

104 Saluda Pointe Dr
Lexington, SC 29072-7295

Fax (803) 296-9699

Mailing address

300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899

Other practice locations

  • 1333 Taylor St Ste 6F, Columbia, SC 29201-2953 · (803) 296-3273
  • 6 Medical Park Rd, Columbia, SC 29203 · (201) 937-5162

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5842 (SC)
Critical Care Medicine (Internal Medicine) Physician 207RC0200XMPA.5842 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1679369185

Kaitlyn Waldo's National Provider Identifier is 1679369185, issued on Apr 19, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lexington, SC. The record was last updated on Feb 13, 2026.