Provider Demographics
NPI:1871249607
Name:DUPREE, KATI MCDONALD (HAS)
Entity Type:Individual
Prefix:
First Name:KATI
Middle Name:MCDONALD
Last Name:DUPREE
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 JOHNNIE DODDS BLVD UNIT 121
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2975
Mailing Address - Country:US
Mailing Address - Phone:843-388-4853
Mailing Address - Fax:843-654-9922
Practice Address - Street 1:311 JOHNNIE DODDS BLVD UNIT 121
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2975
Practice Address - Country:US
Practice Address - Phone:843-388-4853
Practice Address - Fax:843-654-9922
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0710237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCHAS-0710OtherSTATE LICENSE