Individual
KATHRYN D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-1718
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN110
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AM0058
—
SC
01
—
APN110
LICENSE
SC
Enumeration date
09/20/2005
Last updated
02/22/2008
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