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NPI Code Detail

MEDICARE: MRS. KAYLA BROWN CONNELL FNP-BC

MEDICARE: MRS. KAYLA BROWN CONNELL FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner31459SC
2390200000XStudent in an Organized Health Care Education/Training ProgramSC

General Provider Information

NPI Number : 1013878073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAYLA BROWN CONNELL FNP-BC
Provider Business Mailing Address
First Line : 2720 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4810
Country : US
Telephone Number : 803-936-7372
Fax Number : 803-936-4102
Provider Business Practice Location Address
First Line : 2720 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4810
Country : US
Telephone Number : 803-936-7372
Fax Number : 803-936-4102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 02/04/2026

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