Vidal, Kathy

Vidal, Kathy is an sole proprietor health care provider with primary practice located at 2000 Hampton St , Columbia SC 29204-1002. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Vidal, Kathy can be contacted via phone (803) 576-2967.

Contact Information

Primary practice address
2000 Hampton St Columbia SC 29204-1002
Phone: (803) 576-2967
Fax: (803) 576-2985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 72885 South Carolina

Profile Details

NPI number 1124572599
LBN Legal business name Vidal, Kathy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2016
Last updated Aug 15th, 2016 - about 8 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 1124572599 NPPES
South Carolina MEDICAID 57-6000286

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