Individual
KATHRYN ABDELNOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 RAVEN TRL, WEST COLUMBIA, SC 29169-3747
(803) 727-4214
Mailing address
2109 RAVEN TRL, WEST COLUMBIA, SC 29169-3747
(803) 727-4214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1113
SC
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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