Individual
KATIE KOBY LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
48 CROSS PARK CT, GREENVILLE, SC 29605-4263
(864) 797-7440
(864) 797-7469
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2811
—
SC
Enumeration date
05/30/2014
Last updated
05/17/2023
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