Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn L Childress, PAAA

Individual provider Anesthesiologist Assistant · NPI 1083966246

Kathryn L Childress, PAAA is an Anesthesiologist Assistant in Charleston, South Carolina. Works from 2 locations. Licensed in Georgia and South Carolina.

Licensed in
GA, SC
In the registry since
2012
Specialties on file
2

Practice location Address checks out

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone: (843) 402-1436
Fax: (843) 402-1833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 — (770) 645-9181

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 86 (SC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 006603 (GA)

Record details

NPI number1083966246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAAA
Sole proprietorNo
NPI enumeratedOctober 11, 2012
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

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