Individual
MRS. KAYLI MARIE CLATTERBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
6450 SOMERSET DR, MYRTLE BEACH, SC 29572-3261
(606) 776-3247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004539
IL
363A00000X
Physician Assistant
2014017611
MO
363A00000X
Physician Assistant
Primary
PA2357
SC
Other
Enumeration date
10/30/2012
Last updated
03/13/2024
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