Individual
ANNA KATHRYN SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
135 KALASSAY DR, LIGONIER, PA 15658-8726
(724) 238-2613
(724) 238-2614
Mailing address
135 KALASSAY DR, LIGONIER, PA 15658-8726
(724) 238-2613
(724) 238-2614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012128
PA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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