Individual
VIRGINIA ROSE KEARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2435 FOREST DRIVE, COLUMBIA, SC 29204
(803) 454-2613
(803) 765-1732
Mailing address
PO BOX 1467, COLUMBIA, SC 29202
(803) 454-2613
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0057
—
SC
Enumeration date
03/24/2006
Last updated
06/22/2018
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