Individual
KAYLA HILDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(843) 863-7596
Mailing address
3785 LADSON RD, APT 621, LADSON, SC 29456-4332
(724) 825-8185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1657
SC
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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