Individual
MS. KARIN SUE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(513) 891-3100
(513) 487-6052
Mailing address
6439 GARNERS FERRY RD., (WM, JENNINGS BRYAN DORN VAMC), COLUMBIA, SC 29209
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
143132
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9283958
FL
Other
Enumeration date
03/28/2007
Last updated
11/17/2015
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