Most Relevant Information
Provider Data
| NPI Number: | 1003396490 |
| Provider Name: | CATHERINE M KEARON PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 25869 |
Most Important Dates
| Enumeration Date: | 08/15/2018 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
939 SPRINGDALE DR
CLINTON
SC
293257266
Practice Location Phone/Fax
| Phone: | 9107429243 |
| Fax: |
Provider Mailing Location
PO BOX 538622
ATLANTA
GA
303538622
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |