person
Mrs. Kathleen Mary Clark, RN
School Registered Nurse in Columbia, South Carolina
NPI 1407290364

Kathleen Mary Clark is a School Registered Nurse based in Columbia, SC and is specialized in School. Kathleen Mary Clark practices in Columbia, SC and has the professional credentials of RN. The NPI Number for Kathleen Mary Clark is 1407290364 and holds a License No. 42521 (South Carolina).

The current practice location address for Kathleen Mary Clark is 2800 Ashland Rd, Columbia, SC and can be reached out via phone at 803-476-8509 and via fax at 803-476-8520. You can also correspond with Kathleen Mary Clark through the mailing address at 2800 ASHLAND RD, COLUMBIA, SC - 29210-5010 (mailing address contact number: 803-476-8509).

Location: 2800 Ashland Rd, Columbia, SC, 29210-5010
person
Provider Profile Details
NPI Number
1407290364
Provider Name
Kathleen Mary Clark
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2800 Ashland Rd, Columbia, SC, 29210-5010
Phone Number
803-476-8509
Fax Number
803-476-8520
Provider Enumeration Date
04/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42521 05 SC
institution
Provider Business Practice Location Address Details
Address
2800 Ashland Rd
City
State
Zip
29210-5010
Phone Number
803-476-8509
Fax Number
803-476-8520
person
Provider Business Mailing Address Details
Address
2800 Ashland Rd
City
State
Zip
29210-5010
Phone Number
803-476-8509
Fax Number
803-476-8520
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
License No.
42521 (South Carolina)
Definition
Definition to come...
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