Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1756 | SC |
NPI | 1124137005 |
---|---|
Provider Name | Mrs. Kathryn Jane Arflack |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29605-4656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 28/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MW0216 | (05) | SC |