Individual
KATHLEEN ALICE DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000
(803) 476-8196
Mailing address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000
(803) 476-8196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R23637
SC
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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