| Doctor Name: | MRS. KATHERINE SILLIMAN COFFEY |
| NPI Number: | 1518904135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1071 |
| Business Practice Address: | 1056 Felton St Summerton, SC - 291487169 |
| Business Phone Number: | 8034889355 |
| Business Fax Number: | |
| Mailing Address: | 8 S Brooks St, MANNING |
| State: | SC |
| Postal Code: | 291023110 |
| Phone Number: | 8647060543 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 05/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |