Individual
KATHRYN RADUTZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5117 BAPTIST HILL RD, YONGES ISLAND, SC 29449-6916
(843) 889-2276
Mailing address
5117 BAPTIST HILL RD, YONGES ISLAND, SC 29449-6916
(843) 889-2276
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
249208
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249208
NURSE
SC
Enumeration date
03/10/2020
Last updated
03/10/2020
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