Individual
KATHERINE E ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67.000165
OH
367H00000X
Anesthesiologist Assistant
Primary
76
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052208
—
OH
01
—
P01130937
MEDICARE RAILROAD
OH
Enumeration date
05/27/2010
Last updated
05/22/2024
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