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

Prof. Kisha Beach Penn

Individual provider Ambulatory Care Registered Nurse · NPI 1821850108

Prof. Kisha Beach Penn is an Ambulatory Care Registered Nurse in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

100 Callen Blvd
Summerville, SC 29486-2807
Phone: (843) 343-2432
Show map & directions

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

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 81496 (SC)

Record details

NPI number1821850108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024