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Individual

MRS. KATHRYN J GERSHKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
103A HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 873-2600
(843) 851-7890
Mailing address
103A HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 873-2600
(843) 851-7890

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13290
TN
363LF0000X
Family Nurse Practitioner
Primary
19553
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3341651
TN
01
4179454
BCBST
TN
Enumeration date
02/11/2008
Last updated
06/29/2016
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