Individual
KAYLA BLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2294 OTRANTO RD, CHARLESTON, SC 29406-9603
(843) 225-2550
Mailing address
2701 SEVIER AVE APT A11, KNOXVILLE, TN 37920-2596
(443) 988-1438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29110
SC
Other
Enumeration date
04/15/2024
Last updated
12/02/2024
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