Individual
MR. JASON MICHAEL KAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4040 HIGHWAY 17 UNIT 206, MURRELLS INLET, SC 29576-5098
(843) 652-8260
(843) 652-8269
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03180
NC LICENSE
NC
01
—
2006
SC LICENSE
SC
Enumeration date
10/31/2011
Last updated
11/21/2025
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