Individual
KATHERINE KUSKE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-3780
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-3780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MMD.92745LL
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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