Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNASIA COAXUM
NPI 1093641763
Licensed Practical Nurse in Goose Creek, SC

Q: What is Kennasia Coaxum's NPI number?

The NPI number for Kennasia Coaxum is 1093641763. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Q: What is Kennasia Coaxum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kennasia Coaxum was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2026

469 GIANNA LN, GOOSE CREEK, SC 29445(843) 781-0112 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kennasia Coaxum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNASIA COAXUM (NPI 1093641763) is an individual licensed practical nurse in Goose Creek, South Carolina, licensed in South Carolina (57100) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093641763

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKENNASIA COAXUM

Location Address469 GIANNA LNGoose Creek, SC 29445-3672

Mailing Address469 Gianna LnGoose Creek, SC 29445-3672

Phone(843) 781-0112

Sole ProprietorNo

Enumeration DateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1093641763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in SC · 57100

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

469 GIANNA LN, Goose Creek, SC 29445

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennasia Coaxum's NPI number?

The NPI number for Kennasia Coaxum is 1093641763. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Kennasia Coaxum located?

Kennasia Coaxum practices at 469 Gianna Ln, Goose Creek, SC 29445. The listed phone number is (843) 781-0112.

What is Kennasia Coaxum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kennasia Coaxum was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.