Kayse, Mary W

Kayse, Mary W is an individual health care provider with primary practice located at 4605 Monticello Rd , Columbia SC 29203-4156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kayse, Mary W can be contacted via phone (803) 252-7001.

Contact Information

Primary practice address
4605 Monticello Rd Columbia SC 29203-4156
Phone: (803) 252-7001
Fax: (803) 252-5219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN1242 South Carolina

Profile Details

NPI number 1326048349
LBN Legal business name Kayse, Mary W
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jun 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326048349 NPPES
South Carolina MEDICAID NP1795
South Carolina Other APN1242

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