Provider Demographics
NPI:1598144305
Name:CALLAGHAN, KRISTIN STRICKLAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:STRICKLAND
Last Name:CALLAGHAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ELIZABETH
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1055 RIBAUT RD STE 10
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-3402
Mailing Address - Country:US
Mailing Address - Phone:435-247-6078
Mailing Address - Fax:
Practice Address - Street 1:1055 RIBAUT RD STE 10
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-3402
Practice Address - Country:US
Practice Address - Phone:843-524-7607
Practice Address - Fax:843-524-6737
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2330363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant