Individual
KATHLEEN GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 BROOKDALE AVE, GREENVILLE, SC 29607-2936
(864) 380-0456
Mailing address
116 BROOKDALE AVE, GREENVILLE, SC 29607-2936
(864) 380-0456
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
209651
SC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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