Individual
DR. KATHERINE JAMES KEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1929 OAK TREE LN, MOUNT PLEASANT, SC 29464-9426
(843) 568-1602
Mailing address
1929 OAK TREE LN, MOUNT PLEASANT, SC 29464-9426
(843) 568-1602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1193
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11930
—
SC
Enumeration date
10/12/2006
Last updated
07/08/2007
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