Individual
KATHLEEN COMLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
Mailing address
4958 CHISOLM RD, JOHNS ISLAND, SC 29455-4712
(843) 559-0118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048071
COUNCIL ON RECERT OF NA
—
Enumeration date
06/01/2006
Last updated
07/08/2007
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