IndividualActive
Kawonna Maple
NPI 1114522547 · Contractor · Cordova, SC
Provider details
- NPI number
- 1114522547
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
109 Justine Ct
Cordova, SC 29039-9196
Phone: (803) 614-5088
Approximate (ZIP-level) locationGet directions
Mailing address
223 Mockingbird Dr
Cordova, SC 29039-9641
Registry dates
- Enumerated
- 2020-12-03
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.