Vanravenstein, Kathryn Anne

Vanravenstein, Kathryn Anne is an individual health care provider with primary practice located at 401 Witsell St , Walterboro SC 29488-3052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vanravenstein, Kathryn Anne can be contacted via phone (843) 549-5546.

Contact Information

Primary practice address
401 Witsell St Walterboro SC 29488-3052
Phone: (843) 549-5546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19358 South Carolina

Profile Details

NPI number 1194726414
LBN Legal business name Vanravenstein, Kathryn Anne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 31st, 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 1194726414 NPPES
South Carolina MEDICAID NP3253
South Carolina MEDICAID 43948600

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