Individual
KYLIE ANN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1859 N PARIS AVE STE 212, PORT ROYAL, SC 29935-2029
(843) 305-6326
Mailing address
17 ROYAL CREST DR, HILTON HEAD ISLAND, SC 29928-5506
(703) 727-1538
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4163
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4163
SOUTH CAROLINA LICENSURE
SC
Enumeration date
10/02/2020
Last updated
10/02/2020
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