IndividualActive
Caroline Kennerly
NPI 1215792890 · Adult Health Nurse Practitioner · West Columbia, SC
Provider details
- NPI number
- 1215792890
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29388 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815
Phone: (803) 744-4900
Fax: (803) 744-4938
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6069
West Columbia, SC 29171-6069
Additional practice locations (2)
- 3016 Longtown Commons Dr Ste 300Columbia, SC 29229-7864Phone: (803) 744-4900Fax: (803) 744-4935
- 811 W Main St Ste 209Lexington, SC 29072-2500Phone: (803) 314-9729Fax: (803) 314-9721
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.