Individual
KATHLEEN STARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
9225 DITMAN ST, PHILADELPHIA, PA 19114-3915
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA48
SC
Other
Enumeration date
12/01/2015
Last updated
04/19/2020
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