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Contact Information

KATHRYN L LUCKETT, NP
7 INDEPENDENCE PT STE 300
GREENVILLE, SC29615-4569
 Phone: 864-522-3700
 Fax: 864-522-3705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHRYN L LUCKETT · (Female)

NPI Number 1104368174
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/08/2016
Last updated 06/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 20521
  • SC Medicaid NP4297
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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