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Individual

MRS. KATHRYN KAISER ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
125 BONEY RD, BLYTHEWOOD, SC 29016-9409
(803) 691-6880
(803) 691-6883
Mailing address
125 BONEY RD, BLYTHEWOOD, SC 29016-9409
(803) 691-6880
(803) 691-6883

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
54185
SC

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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