Provider Demographics
NPI:1063218725
Name:TOURE, KATI PRISCA
Entity type:Individual
Prefix:
First Name:KATI
Middle Name:PRISCA
Last Name:TOURE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 MIDBROOK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8285
Mailing Address - Country:US
Mailing Address - Phone:828-200-3747
Mailing Address - Fax:
Practice Address - Street 1:1846 MIDBROOK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8285
Practice Address - Country:US
Practice Address - Phone:828-200-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program