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PROF. KISHA BEACH PENN
NPI 1821850108
Registered Nurse - Ambulatory Care in Summerville, SC

Active since January 23, 2024
100 CALLEN BLVD, SUMMERVILLE, SC 29486(843) 343-2432 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Kisha Beach Penn NPPES

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

PROF. KISHA BEACH PENN (NPI 1821850108) is an individual ambulatory care provider in Summerville, South Carolina, licensed in South Carolina (81496) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1821850108
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NamePROF. KISHA BEACH PENN
Location Address100 CALLEN BLVDSummerville, SC 29486-2807
Mailing Address1427 Pinethicket DrSummerville, SC 29486-8661 · (843) 343-2432
Phone(843) 343-2432
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1821850108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in SC · 81496
100 CALLEN BLVD, Summerville, SC 29486
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Other Providers at the Same Location NPPES 14

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

JUAN CARLOS CAMACHO VELAZQUEZ M.D.
Internal Medicine
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (843) 529-3100
CAROLINE HUFFMAN PA-C
Physician Assistant
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
CODY ALLAN STOGNER CRNA, RN
Nurse Anesthetist, Certified Registered
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
JULIANNA MATHEWES
Nurse Practitioner (Family)
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
BROAD RIVER PHYSICIANS GROUP, LLC
Emergency Medicine
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Internal Medicine (Critical Care Medicine)
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
General Acute Care Hospital
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3100
DR. FAITH MATUTINA BARRINEAU PHARMD
Pharmacist
100 CALLEN BLVD
SUMMERVILLE, SC 29486
Berkeley County (854) 529-3173

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 Kisha Penn's NPI number?

The NPI number for Kisha Penn is 1821850108. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Kisha Penn located?

Kisha Penn practices at 100 Callen Blvd, Summerville, SC 29486. The listed phone number is (843) 343-2432.

What is Kisha Penn's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Kisha Penn was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.