person
Kathryn A O'donald, CRNP
Women's Health Nurse Practitioner in Myrtle Beach, South Carolina
NPI 1043205289

Kathryn A O'donald is a Women's Health Nurse Practitioner based in Myrtle Beach, SC and is specialized in Women's Health. Kathryn A O'donald practices in Myrtle Beach, SC and has the professional credentials of CRNP. The NPI Number for Kathryn A O'donald is 1043205289 and holds a License No. VP001864G (South Carolina).

The current practice location address for Kathryn A O'donald is 170 Village Center Blvd, Myrtle Beach, SC and can be reached out via phone at 843-449-5848 and via fax at 843-497-5019. You can also correspond with Kathryn A O'donald through the mailing address at 170 VILLAGE CENTER BLVD, MYRTLE BEACH, SC - 29579-3400 (mailing address contact number: 843-449-5848).

Location: 170 Village Center Blvd, Myrtle Beach, SC, 29579-3400
person
Provider Profile Details
NPI Number
1043205289
Provider Name
Kathryn A O'donald
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
170 Village Center Blvd, Myrtle Beach, SC, 29579-3400
Phone Number
843-449-5848
Fax Number
843-497-5019
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50038695 01 PA CAPITAL BLUE CROSS
OD1629923 01 PA HIGHMARK
0991970 01 PA KEYSTONE HEALTH PLAN CENT
institution
Provider Business Practice Location Address Details
Address
170 Village Center Blvd
City
State
Zip
29579-3400
Phone Number
843-449-5848
Fax Number
843-497-5019
person
Provider Business Mailing Address Details
Address
170 Village Center Blvd
City
State
Zip
29579-3400
Phone Number
843-449-5848
Fax Number
843-497-5019
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
VP001864G (Pennsylvania)
Definition
Definition to come...
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