Mrs Kori Waters, LPN is a
Licensed Practical Nurse based in St Matthews, South Carolina. Mrs Kori Waters is licensed to practice in South Carolina (license number P42236) and her current practice location is
2837 Old Belleville Rd, St Matthews, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 874-2037.
NPI number for Mrs Kori Waters is 1891100947 and her current mailing address is 2837 Old Belleville Rd, St Matthews, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891100947.
Provider's Profile
Full Name | Mrs Kori Waters |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2837 Old Belleville Rd, St Matthews, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891100947
- Provider Enumeration Date: 06/27/2014
- Last Update Date: 06/27/2014
Medical Identifiers
Medical identifiers for Mrs Kori Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891100947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P42236 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kori Waters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kori Waters, LPN 2837 Old Belleville Rd, St Matthews, SC 29135-9010 Ph: (803) 874-2037 | Mrs Kori Waters, LPN 2837 Old Belleville Rd, St Matthews, SC 29135-9010 Ph: (803) 874-2037 |
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