| Kennasia Coaxum, | |
|
469 Gianna Ln, Goose Creek, SC 29445-3672 | |
| (843) 781-0112 | |
| Not Available |
| Full Name | Kennasia Coaxum |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 469 Gianna Ln, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093641763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 57100 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kennasia Coaxum, 469 Gianna Ln, Goose Creek, SC 29445-3672 Ph: () - | Kennasia Coaxum, 469 Gianna Ln, Goose Creek, SC 29445-3672 Ph: (843) 781-0112 |
Annalee Elizabeth Rose Edwards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6662 | |
John Parker Blalock-cornwel, LPN, CRCFA, ALCA Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 108 Mckelvey Pl, Goose Creek, SC 29445 Phone: 912-341-7633 | |
Ms. Patricia Ann Mcquillan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 114 Chownings Ln, Goose Creek, SC 29445 Phone: 843-532-4709 |