Peavey, Kathleen Jo

Peavey, Kathleen Jo is an individual health care provider with primary practice located at 511 W Butler Rd , Greenville SC 29607-4890. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Peavey, Kathleen Jo can be contacted via phone (864) 757-9918.

Contact Information

Primary practice address
511 W Butler Rd Greenville SC 29607-4890
Phone: (864) 757-9918
Fax: (864) 757-9921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 7092 South Carolina

Profile Details

NPI number 1578997144
LBN Legal business name Peavey, Kathleen Jo
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2013
Last updated Jan 29th, 2019 - about 6 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 1578997144 NPPES
South Carolina MEDICAID TH3018

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