Individual
KAYLA ALEXANDRIA CANTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6010 HIGHWAY 707 STE 300, MYRTLE BEACH, SC 29588-7321
(843) 347-7216
(843) 347-7218
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6842
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8624
—
SC
Enumeration date
03/02/2022
Last updated
04/02/2026
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