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MRS. NICOLE PERRIN KETCHIN PAC
NPI 1093741613
Physician Assistant - Medical in Mt Pleasant, SC

Active since June 24, 2006
180 WINGO WAY, SUITE 307, MT PLEASANT, SC 29464(843) 884-1777 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nicole Perrin Ketchin Pac NPPES

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

MRS. NICOLE PERRIN KETCHIN PAC (NPI 1093741613) is an individual medical provider in Mt Pleasant, South Carolina, licensed in South Carolina (1073) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093741613
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. NICOLE PERRIN KETCHINCredential: PAC
Location Address180 WINGO WAY, SUITE 307Mt Pleasant, SC 29464-1810
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Phone(843) 884-1777
Sole ProprietorNo
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1093741613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 1073
180 WINGO WAY, Mt Pleasant, SC 29464
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Other Identifiers 3

Medicare UPINAA1139SC
Medicaid0363PASC
Medicare PINAA11399223SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL MIKOLA MD
Internal Medicine
180 WINGO WAY, STSE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
MR. MARK S PRINCIPE PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 304
MT PLEASANT, SC 29464
Charleston County (843) 884-8045
BRIAN R OBENZA PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 204
MT PLEASANT, SC 29464
Charleston County (843) 534-1770
CHARLESTON CANCER CENTER
Internal Medicine (Hematology & Oncology)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 572-9211
MR. JESSE WILLIAM PRICE III PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA
Surgery (Plastic and Reconstructive Surgery)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 884-1400
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Surgery
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464
Charleston County (843) 881-2423
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464
Charleston County (843) 212-8066

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 Nicole Ketchin's NPI number?

The NPI number for Nicole Ketchin is 1093741613. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Nicole Ketchin located?

Nicole Ketchin practices at 180 Wingo Way Suite 307, Mt Pleasant, SC 29464. The listed phone number is (843) 884-1777.

What is Nicole Ketchin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Ketchin was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.