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NPI Code Detail

MEDICARE: KATHY CULCLASURE RN

MEDICARE: KATHY CULCLASURE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN.17835SC

General Provider Information

NPI Number : 1700202660
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY CULCLASURE RN
Provider Business Mailing Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3144
Fax Number : 864-282-4425
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3144
Fax Number : 864-282-4425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2014
Last Update Date : 03/14/2014

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Directions to “ KATHY CULCLASURE RN” Practice Location

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