Individual
CAITLIN RAE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MEDICAL PARK RD STE 107, COLUMBIA, SC 29203-6839
(803) 434-4480
(803) 434-3340
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28216090A
IN
363LF0000X
Family Nurse Practitioner
Primary
27348
SC
363LF0000X
Family Nurse Practitioner
71009721A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035366
—
IN
Enumeration date
07/17/2019
Last updated
05/22/2023
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