Provider Demographics
NPI:1144987058
Name:CURRAN SHIELDS, KATHLEEN MAY (RN)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MAY
Last Name:CURRAN SHIELDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 GOLDENROD CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-8184
Mailing Address - Country:US
Mailing Address - Phone:856-761-6377
Mailing Address - Fax:
Practice Address - Street 1:417 GOLDENROD CIR
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-8184
Practice Address - Country:US
Practice Address - Phone:856-761-6377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC257172163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health