Individual
MS. KAYLA FAYLYN NICOLE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 SOUTHERN DRIVE, UNIT 1905A, COLUMBIA, SC 29201
(903) 526-9337
Mailing address
1905 SOUTHERN DRIVE, UNIT 1905A, COLUMBIA, SC 29201
(903) 526-9337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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