KATHLEEN DAVIS BUKOWSKY PA-C NPI 1689944373

NPI Information

NPI: 1689944373
Provider Name: KATHLEEN DAVIS BUKOWSKY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ARCIS HEALTHCARE LLC

PECOS Registration: Yes

Address:
2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 797-5050
Get Directions

Kathleen Davis Bukowsky, PA-C is a medical physician assistant in North Charleston, SC with 13 years of experience. Kathleen Davis Bukowsky, PA-C NPI is 1689944373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406-171
Phone: (843) 797-5050
Fax: (843) 797-3633

The NPI 1689944373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 3/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		1740	SOUTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	1740	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP6337	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP MEDICAID ID #
2	46-2535418	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP TIN #
3	D043	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP MEDICARE PTAN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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