Individual
KAYLEN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 898-3432
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245646
SC
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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