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NPI Code Detail

MEDICARE: KAYLANN NICOLE PENNY PT

MEDICARE: KAYLANN NICOLE PENNY PT
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
1225100000XPhysical TherapistCP049455TSC
2225100000XPhysical TherapistCP044948TGA
3225100000XPhysical TherapistPTH11723AL

General Provider Information

NPI Number : 1689430324
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLANN NICOLE PENNY PT
Provider Business Mailing Address
First Line : 141 ATRIUM WAY
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-6301
Country : US
Telephone Number : 843-277-0710
Fax Number : 843-573-7412
Provider Business Practice Location Address
First Line : 7800 RIVERS AVE STE 1240
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4067
Country : US
Telephone Number : 843-277-0710
Fax Number : 843-573-7412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2024
Last Update Date : 06/16/2026

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Directions to “ KAYLANN NICOLE PENNY PT” Practice Location

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