Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 24271 | SC |
NPI | 1083202444 |
---|---|
Provider Name | Mrs. Erin Healan Kendall |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414-5744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2021 |
Last Update Date | 17/02/2021 |