Individual
KATHLEEN SUE GUETSCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 GROVE RD, GREENVILLE, SC 29605-4656
(864) 455-8802
(864) 455-8555
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
20896
SC
363LW0102X
Women's Health Nurse Practitioner
R108568-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
04/11/2006
Last updated
04/19/2017
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