Provider Demographics
NPI:1740418789
Name:LINDSEY, KATHRYN GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:GRACE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:GRACE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:165 ASHLEY AVE STE 309
Mailing Address - Street 2:MSC 908
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8905
Mailing Address - Country:US
Mailing Address - Phone:843-792-1086
Mailing Address - Fax:843-792-8974
Practice Address - Street 1:165 ASHLEY AVE STE 309
Practice Address - Street 2:MSC 908
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8905
Practice Address - Country:US
Practice Address - Phone:843-792-1086
Practice Address - Fax:843-792-8974
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL31938207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology