Individual
MARY KATHRYN C WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
716 E CEDAR ROCK ST, PICKENS, SC 29671-2324
(864) 878-4739
Mailing address
716 E CEDAR ROCK ST, PICKENS, SC 29671-2324
(610) 905-5888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5881
—
SC
Enumeration date
07/25/2018
Last updated
04/05/2024
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