Individual
KAYLA NEAL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(252) 908-7225
Mailing address
8612 LINDENWOOD CIR, NORTH CHARLESTON, SC 29420-7105
(252) 908-7225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
264451
SC
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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