Individual provider · Type 1 NPI

Kathleen Davis Bukowsky, PA-C

Medical Physician Assistant · North Charleston, SC

NPI number 1689944373 Active

Practice location

2880 Tricom St
North Charleston, SC 29406-9171

Call (843) 797-5050 Map

Fax (843) 797-3633

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1740 (SC)
Medical Physician Assistant Primary 363AM0700X1740 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1689944373

Kathleen Davis Bukowsky, PA-C's National Provider Identifier is 1689944373, issued on Jan 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Charleston, SC. The record was last updated on Mar 13, 2020.