Dodge, Kristen Marie

Dodge, Kristen Marie is an individual health care provider with primary practice located at 105 Ashland Ave , Clinton SC 29325-2960. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dodge, Kristen Marie can be contacted via phone (864) 347-5707.

Contact Information

Primary practice address
105 Ashland Ave Clinton SC 29325-2960
Phone: (864) 347-5707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2178 South Carolina

Profile Details

NPI number 1063921146
LBN Legal business name Dodge, Kristen Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Sep 21st, 2017 - about 7 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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