Kathryn Anne Borkert, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1622 Issued in SC

Practice address

5880 Rivers Ave
North Charleston, SC 29406-6053

Phone

(843) 725-4673

Fax

(843) 725-1235

NPI assigned

Mar 30, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1043509144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066053",
            "telephone_number": "843-725-4673",
            "fax_number": "843-725-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066053",
            "telephone_number": "843-725-4673",
            "fax_number": "843-725-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKERT",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Renae Bone, C.O.T.A.
• Barry Mark Bonk, RPH
• Brian W. Boone
• Maureen Booth
• Caroline E Border
• Born2Care LLC
• Brooke Borusiewicz, RDH
• Yolanda Lynette Bostick, BSN MSN/ED. RN
• Austin William Bourke, CPHT
• Kathryn Bouziane, RN

• Physician Assistant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.