Clary, Kathleen A.

Clary, Kathleen A. is an sole proprietor health care provider with primary practice located at 200 Mosaic Cir , Pooler GA 31322-5025. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Clary, Kathleen A. can be contacted via phone (912) 348-4584.

Contact Information

Primary practice address
200 Mosaic Cir Pooler GA 31322-5025
Phone: (912) 348-4584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000373 Virginia

Profile Details

NPI number 1609849389
LBN Legal business name Clary, Kathleen A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2006
Last updated Nov 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609849389 NPPES
South Carolina MEDICAID D19772
South Carolina Other SCB632E499

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