Individual
KATHLEEN LAVERNE DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 BEAUFORT ST NE, AIKEN, SC 29801-4476
(803) 642-1687
Mailing address
222 BEAUFORT ST NE, AIKEN, SC 29801-4476
(803) 642-1687
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
R49294
SC
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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