Individual provider · Type 1 NPI
Kathryn Lea Luckett, NP
Family Nurse Practitioner · Greenville, SC
NPI number
1104368174
Active
Practice location
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Fax (864) 522-3705
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20521 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104368174
Kathryn Lea Luckett, NP's National Provider Identifier is 1104368174, issued on Nov 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Jun 5, 2023.