Individual
MRS. KATHLEEN R STEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S DARGAN ST, FLORENCE, SC 29506-2538
(843) 673-1161
Mailing address
901 N MAIN ST, MARION, SC 29571-2521
(843) 423-6656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P10954
SC
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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