Individual
KATHY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2306 HIGHWAY 77, PANAMA CITY, FL 32405-4404
(850) 763-9744
(850) 785-2020
Mailing address
2306 HIGHWAY 77, PANAMA CITY, FL 32405-4404
(850) 763-9744
(850) 785-2020
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
ARNP2145292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303682100
—
FL
Enumeration date
12/03/2013
Last updated
12/03/2013
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