Provider Demographics
NPI:1518452101
Name:INAN, KATHRYN GARREN (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:GARREN
Last Name:INAN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:TAYLOR
Other - Last Name:GARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:101 E WT HARRIS BLVD STE 5301
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3437
Mailing Address - Country:US
Mailing Address - Phone:704-863-9800
Mailing Address - Fax:
Practice Address - Street 1:101 E WT HARRIS BLVD STE 5301
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3437
Practice Address - Country:US
Practice Address - Phone:704-863-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21944207VG0400X
GA260724207VG0400X
NC5019319207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology