Healthcare Provider Details

I. General information

NPI: 1538042791
Provider Name (Legal Business Name): KAYLA JEAN WHELCHEL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 WALTON WAY
AUGUSTA GA
30901-2612
US

IV. Provider business mailing address

8 TURKEY RIDGE CT
NORTH AUGUSTA SC
29860-8111
US

V. Phone/Fax

Practice location:
  • Phone: 706-774-2166
  • Fax: 706-774-2898
Mailing address:
  • Phone: 706-831-0585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number262045
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: