Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 23113 | SC |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 23113 | SC |
NPI | 1023449121 |
---|---|
Provider Name | Kaylee Kilpatrick |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2013 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP6205 | (05) | SC |