Individual provider · Type 1 NPI

Kurt Alexander Waldthausen

Medical Physician Assistant · West Columbia, SC

NPI number 1952983173 Active

Practice location

146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800

Mailing address

241 Rolling Rock Rd
Columbia, SC 29212-3022

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1952983173

Kurt Alexander Waldthausen's National Provider Identifier is 1952983173, issued on Apr 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Columbia, SC. The record was last updated on Apr 27, 2021.