Individual
KAYRN JOHNSON CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4123A MEETING ST, LORIS, SC 29569-2409
(843) 756-3008
Mailing address
304 KISKADEE LOOP UNIT F, CONWAY, SC 29526-9752
(843) 731-2871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25029
—
SC
Enumeration date
08/05/2021
Last updated
08/05/2021
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