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

Kristopher Olen Lane, FNP

Individual provider Family Nurse Practitioner · NPI 1306378856

Kristopher Olen Lane, FNP is a Nurse Practitioner in Latta, South Carolina. Qualified in 2016, 10 years ago. Practices with Caresouth Carolina Inc, a 66-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

122 Latimer St
Latta, SC 29565-1828
Phone: (843) 627-6252
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20909 (SC)

Record details

NPI number1306378856
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Caresouth Carolina Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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