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NPI Code Detail

MEDICARE: MS. KATHLEEN ANN GEHRMAN R.D.H.

MEDICARE: MS. KATHLEEN ANN GEHRMAN R.D.H.
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
1124Q00000XDental Hygienist2990SC

General Provider Information

NPI Number : 1902309974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN ANN GEHRMAN R.D.H.
Provider Business Mailing Address
First Line : 113 WAPPOO CREEK DR. SUITE #5
Second Line : JAMES ISLAND DENTAL ASSOCIATES
City : CHARLESTON
State : SC
Zip : 29412-2136
Country : US
Telephone Number : 843-762-1234
Fax Number : 843-762-9142
Provider Business Practice Location Address
First Line : 113 WAPPOO CREEK DR. SUITE #5
Second Line : JAMES ISLAND DENTAL ASSOCIATES
City : CHARLESTON
State : SC
Zip : 29412-2136
Country : US
Telephone Number : 843-762-1234
Fax Number : 843-762-9142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 03/15/2018

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