Healthcare Provider Details

I. General information

NPI: 1619696838
Provider Name (Legal Business Name): KAYLA LAWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2866 HAVERHILL CIR
NORTH CHARLESTON SC
29420-8922
US

IV. Provider business mailing address

2866 HAVERHILL CIR
NORTH CHARLESTON SC
29420-8922
US

V. Phone/Fax

Practice location:
  • Phone: 843-214-8240
  • Fax:
Mailing address:
  • Phone: 843-214-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: