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General NPI Number Information
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NPI Number | 1558080234
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Entity Type | Organization
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Legal Business Name | KAYLA WILKES RN, CLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 210 STEWART GIN RD
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City | LIBERTY
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State | SC
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Zip | 29657-9001
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Country | US
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Telephone | 803-609-9761
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Fax |
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Provider Business Mailing Address
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Address Line | 210 STEWART GIN RD
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City | LIBERTY
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State | SC
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Zip | 29657-9001
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Country | US
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Telephone | 803-609-9761
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Fax |
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Authorized Official
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Title or Position | LACTATION COUNSELOR
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Name | MRS. KAYLA WILKES
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Credential | RN, BSN, IBCLC
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Telephone | 803-609-9761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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