Individual
KAYLA HUMENANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1711 RICHLAND ST STE 100, COLUMBIA, SC 29201-2635
(803) 799-3223
Mailing address
1711 RICHLAND ST STE 100, COLUMBIA, SC 29201-2635
(803) 799-3223
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
83683
SC
Other
Enumeration date
04/03/2015
Last updated
08/18/2021
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