Individual
KAYLEE ANN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
48 CENTENNIAL WAY, GREENVILLE, SC 29605-4662
(864) 455-1600
(864) 522-8005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
216045
SC
363L00000X
Nurse Practitioner
23113
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
23113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6205
—
SC
Enumeration date
11/29/2013
Last updated
04/27/2023
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