Individual
ALLYSON TAYLOR VON KANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
424 OLD CHEROKEE RD, LEXINGTON, SC 29072-6972
(800) 352-0580
(803) 520-5801
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-9380
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24981
SC
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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