Hefferon, Kathleen Brikmann

Hefferon, Kathleen Brikmann is an individual health care provider with primary practice located at 75 Baylor Dr Ste 155 , Bluffton SC 29910-8965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hefferon, Kathleen Brikmann can be contacted via phone (843) 682-7480.

Contact Information

Primary practice address
75 Baylor Dr Ste 155 Bluffton SC 29910-8965
Phone: (843) 682-7480
Fax: (843) 681-9169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011038 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4991 South Carolina

Profile Details

NPI number 1295755312
LBN Legal business name Hefferon, Kathleen Brikmann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 18th, 2024 - about 8 months 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 1295755312 NPPES
New York MEDICAID 02732305

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