| Doctor Name: | MS. KATHRYN A. VANRAVENSTEIN |
| NPI Number: | 1194726414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N. |
| License Number: | 19358 |
| Business Practice Address: | 9625 Highway 78 Minuteclinic Ladson, SC - 294563913 |
| Business Phone Number: | 8438638507 |
| Business Fax Number: | |
| Mailing Address: | 3459 Shenandoah Trl, NEENAH |
| State: | WI |
| Postal Code: | 549569044 |
| Phone Number: | 9206593334 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |