Individual
KENDALL M MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4027 WOODLAWN ST, SHARON, SC 29742-8779
(803) 658-5058
Mailing address
4027 WOODLAWN ST, SHARON, SC 29742-8779
(803) 448-8609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28568
SC
Other
Enumeration date
03/26/2024
Last updated
03/27/2024
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