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

Kennasia Coaxum

Individual provider Licensed Practical Nurse · NPI 1093641763

Kennasia Coaxum is a Licensed Practical Nurse in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

469 Gianna Ln
Goose Creek, SC 29445-3672
Phone: (843) 781-0112
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 57100 (SC)

Record details

NPI number1093641763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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