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Individual

DR. KAYLA MARIE WINDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
570 LONG POINT RD STE 130, MT PLEASANT, SC 29464-7931
(843) 884-2133
Mailing address
2293 PORTSIDE WAY, CHARLESTON, SC 29407-9657
(843) 696-7987

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231182
SC
363L00000X
Nurse Practitioner
Primary
26249
SC

Other

Enumeration date
06/24/2022
Last updated
11/01/2023
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