Individual
KAITLYN ROBERTS MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2633 CELANESE RD, ROCK HILL, SC 29732-1205
(803) 325-1770
(803) 325-1790
Mailing address
4250 EDGELAND RD, EDGEMOOR, SC 29712-7734
(864) 321-7318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30720
SC
363LP2300X
Primary Care Nurse Practitioner
30720
SC
Other
Enumeration date
07/23/2025
Last updated
07/28/2025
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