Individual
KAHEALANI LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 HIGHWAY 707, MYRTLE BEACH, SC 29588-7304
(843) 215-1100
Mailing address
16 CEDAR DR N, SURFSIDE BEACH, SC 29575-3830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6056
SC
Other
Enumeration date
02/20/2024
Last updated
11/20/2025
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