Individual
BRITTAINY TYLER KALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 HENRY PL, SPARTANBURG, SC 29306
(864) 310-6100
Mailing address
PO BOX 1427, DRAYTON, SC 29333-0803
(828) 238-0461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22103
SC
Other
Enumeration date
09/03/2018
Last updated
08/20/2020
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