Healthcare Provider Details

I. General information

NPI: 1467250761
Provider Name (Legal Business Name): KAYLA MCELMURRAY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CLYBURN PL
AIKEN SC
29801-4193
US

IV. Provider business mailing address

401 FIOLI CIR
GRANITEVILLE SC
29829-3966
US

V. Phone/Fax

Practice location:
  • Phone: 803-380-7000
  • Fax:
Mailing address:
  • Phone: 803-292-8663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number32429
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: