Swafford, Kathy D.

Swafford, Kathy D. is an sole proprietor health care provider with primary practice located at 300 W Oak St , Carbondale IL 62901-1400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Swafford, Kathy D. can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
300 W Oak St Carbondale IL 62901-1400
Phone: (618) 536-6621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036074783 Illinois
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 036074783 Illinois

Profile Details

NPI number 1871583849
LBN Legal business name Swafford, Kathy D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jun 13th, 2024 - about last year

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 1871583849 NPPES
Illinois Other 102371 HEALTHLINK
Illinois Other 021175 HEALTHLINK
Illinois Other 09122971 HEALTHLINK
Illinois MEDICAID 036074783 HEALTHLINK

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