Individual
KAYLEY MANINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
180 WINGO WAY STE 101, MOUNT PLEASANT, SC 29464-1810
(843) 800-1215
Mailing address
1229 JABBERS DR APT 304, MOUNT PLEASANT, SC 29464-4492
(803) 414-5874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5023
SC
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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