Individual
KAITLYN ELIZABETH VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 855-0001
(864) 855-5030
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
85757
SC
208000000X
Pediatrics Physician
LL85757
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2021
Last updated
06/12/2024
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