Head, Kathleen A
Head, Kathleen A is an individual health care provider with primary practice located at Usc Thomson Student Health Center Greene Street Room 302, Columbia SC 29208-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, which is considered as her primary health care specialty. Head, Kathleen A can be contacted via phone (803) 777-5373.Contact Information
Primary practice address
Usc Thomson Student Health Center Greene Street Room 302
Columbia SC 29208-0001
Phone: (803) 777-5373
Fax: (803) 777-6965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | R50692 | South Carolina |
Profile Details
| NPI number | 1871545582 |
|---|---|
| LBN Legal business name | Head, Kathleen A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | May 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871545582 | NPPES |
| South Carolina | Other | AA65896580 | MEDICARE PTAN |
| South Carolina | MEDICAID | NP0416 | MEDICARE PTAN |
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