Individual
KATHRYN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 STATION 19 ST, SULLIVANS ISLAND, SC 29482-9700
(843) 670-4401
Mailing address
321 STATION 19 ST, SULLIVANS ISLAND, SC 29482-9700
(843) 670-4401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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