Individual
MRS. KATHRYN ANN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, RN, CNS
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(842) 789-7244
Mailing address
1474 FIDDLERS MARSH DR, MT PLEASANT, SC 29464-4285
(843) 856-7239
(843) 971-9705
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1150
SC
363LA2200X
Adult Health Nurse Practitioner
1150
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1150
SC
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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