Kathryn A O'donald
Nurse Practitioner - Women's Health
170 Village Center Blvd
Myrtle Beach
, South Carolina 29579-3400
Kathryn A O'donald
Nurse Practitioner - Women's Health
170 Village Center Blvd
Myrtle Beach
, South Carolina 29579-3400
(843) 497-5019
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Kathryn A O'donald
- 170 Village Center Blvd
- Myrtle Beach, SC
- Zip : 29579-3400
- Fax : (843) 497-5019
- Phone : (843) 449-5848
Second Address
- Kathryn A O'donald
- 170 Village Center Blvd
- Myrtle Beach, SC
- Zip : 29579-3400
- Fax : (843) 497-5019
- Phone : (843) 449-5848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | VP001864G | PA |
National Provider Identifier
| NPI | 1043205289 |
|---|---|
| Provider Name | Kathryn A O'donald |
| First Address | Myrtle Beach, SC 29579-3400 |
| Second Address | Myrtle Beach, SC 29579-3400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2005 |
| Last Update Date | 05/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0991970 | KEYSTONE HEALTH PLAN CENT (01) | PA |
| 50038695 | CAPITAL BLUE CROSS (01) | PA |
| OD1629923 | HIGHMARK (01) | PA |
| P05962 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.