Hogan, Kathleen Weatherford
Hogan, Kathleen Weatherford is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 320 , Columbia SC 29203-6896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hogan, Kathleen Weatherford can be contacted via phone (803) 434-6771.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 320
Columbia SC 29203-6896
Phone: (803) 434-6771
Fax: (803) 434-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 27551 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 685 | South Carolina |
Profile Details
| NPI number | 1124031836 |
|---|---|
| LBN Legal business name | Hogan, Kathleen Weatherford |
| Credentials | APRN GPN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jun 7th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124031836 | NPPES |
| South Carolina | MEDICAID | NP0894 |
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