Provider Demographics
NPI:1669409975
Name:ARDEN, KATHRYN B (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:B
Last Name:ARDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3444
Mailing Address - Country:US
Mailing Address - Phone:843-746-3885
Mailing Address - Fax:843-746-3851
Practice Address - Street 1:4050 BRIDGE VIEW DRIVE
Practice Address - Street 2:SUITE 600
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:843-746-3885
Practice Address - Fax:843-746-3851
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC12235207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine