Individual
MR. KASEY CARLISLE WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 HILLCREST AVE, BELTON, SC 29627-1219
(757) 698-6050
Mailing address
211 HILLCREST AVE, BELTON, SC 29627-1219
(757) 698-6050
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/12/2023
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