Individual
KYLIE MORRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
Mailing address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
369105
SC
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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