Individual
KALYSTA T PIOGGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1510 SOUTH RIBAUT RD, PORT ROYAL, SC 29935
(843) 770-0676
Mailing address
1510 SOUTH RIBAUT RD, PORT ROYAL, SC 29935
(843) 770-0676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23938
SC
363LF0000X
Family Nurse Practitioner
APRN84899
WV
Other
Enumeration date
05/15/2019
Last updated
02/02/2021
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