Individual
MARY W KAYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 252-7001
(803) 252-5219
Mailing address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 252-7001
(803) 252-5219
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN1242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN1242
STATE LICENCE NUMBER
SC
05
—
NP1795
—
SC
Enumeration date
08/01/2005
Last updated
06/02/2011
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