Fomin, Kayla Michelle

Fomin, Kayla Michelle is an individual health care provider with primary practice located at 136 Homeplace Dr , Mt Holly NC 28120-9660. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Fomin, Kayla Michelle can be contacted via phone (803) 820-1607.

Contact Information

Primary practice address
136 Homeplace Dr Mt Holly NC 28120-9660
Phone: (803) 820-1607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 11570 North Carolina
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1407575335
LBN Legal business name Fomin, Kayla Michelle
Credentials OMT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2022
Last updated Aug 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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