Doctor Name: | KARA PRICE |
NPI Number: | 1093982555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APPLIED FOR |
Business Practice Address: | 135 Botanical Circle Travelers Rest, SC - 29690 |
Business Phone Number: | 8648365322 |
Business Fax Number: | 8643711812 |
Mailing Address: | 135 Botanical Circle, TRAVELERS REST |
State: | SC |
Postal Code: | 29690 |
Phone Number: | 8648365322 |
Fax Number: | 8643711812 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APPLIED FOR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |