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Search › South Carolina › 363A00000X

Jennifer Kidane, PA

NPI 1164350955 · on the registry since 2026

Practice

Address
2400 Boiling Springs Rd
Boiling Springs, SC 29316
Phone
(864) 599-0731
Fax
(864) 599-0791
Organisation at this address
Prisma Health-Upstate
Greenville Health Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina