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Individual

KAILA ANNE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
2451 FOREST DR, COLUMBIA, SC 29204-2026
(470) 985-2247
(833) 902-3467
Mailing address
616 SAW CHEEK LN, LEXINGTON, SC 29072-2476
(803) 298-0730

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22501
SC
363LG0600X
Gerontology Nurse Practitioner
22501
SC

Other

Enumeration date
01/03/2019
Last updated
08/27/2024
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