Individual
KATHLEEN MARIE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209434
NC
367500000X
Certified Registered Nurse Anesthetist
052840
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
26030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052652
—
NC
Enumeration date
08/19/2006
Last updated
04/28/2022
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