Shattuck, Kayla Lynn
Shattuck, Kayla Lynn is an individual health care provider with primary practice located at 100 Omni Dr Ste B , Seneca SC 29672-9448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shattuck, Kayla Lynn can be contacted via phone (864) 886-9250.Contact Information
Primary practice address
100 Omni Dr Ste B
Seneca SC 29672-9448
Phone: (864) 886-9250
Fax: (864) 886-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4398 | South Carolina |
Profile Details
| NPI number | 1629449483 |
|---|---|
| LBN Legal business name | Shattuck, Kayla Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2015 |
| Last updated | Aug 21st, 2023 - about 2 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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