Head, Kathleen A

Head, Kathleen A is an individual health care provider with primary practice located at Usc Thomson Student Health Center Greene Street Room 302, Columbia SC 29208-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, which is considered as her primary health care specialty. Head, Kathleen A can be contacted via phone (803) 777-5373.

Contact Information

Primary practice address
Usc Thomson Student Health Center Greene Street Room 302 Columbia SC 29208-0001
Phone: (803) 777-5373
Fax: (803) 777-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X R50692 South Carolina

Profile Details

NPI number 1871545582
LBN Legal business name Head, Kathleen A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 13th, 2011 - about 14 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 1871545582 NPPES
South Carolina Other AA65896580 MEDICARE PTAN
South Carolina MEDICAID NP0416 MEDICARE PTAN

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