Provider Demographics
NPI:1124336466
Name:EDWARDS, KATHRYN KIRSCHNER (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:KIRSCHNER
Last Name:EDWARDS
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Gender:F
Credentials:MS, CF-SLP
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Mailing Address - Street 1:1233 BEN SAWYER BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4577
Mailing Address - Country:US
Mailing Address - Phone:843-697-6640
Mailing Address - Fax:803-675-0787
Practice Address - Street 1:1233 BEN SAWYER BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4577
Practice Address - Country:US
Practice Address - Phone:843-697-6640
Practice Address - Fax:803-675-0787
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC4699235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist