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Individual

KAYLA RENE' CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMBT

Contact information

Practice address
520 ARBOR HILL RD STE B, KERNERSVILLE, NC 27284-3346
(865) 228-1182
Mailing address
3524 CONGRESS SQ, KERNERSVILLE, NC 27284-0223
(336) 817-8429

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
282940
NC
225700000X
Massage Therapist
Primary
22097
NC

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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