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NPI Code Detail

MEDICARE: WHITNEY KAYLA BROCK BSN

MEDICARE: WHITNEY KAYLA BROCK BSN
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
1163WS0200XSchool Registered Nurse227248SC

General Provider Information

NPI Number : 1518825215
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY KAYLA BROCK BSN
Provider Business Mailing Address
First Line : 3180 THOMASINA MCPHERSON BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8283
Country : US
Telephone Number : 843-745-2184
Fax Number : 843-745-2182
Provider Business Practice Location Address
First Line : 3180 THOMASINA MCPHERSON BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8283
Country : US
Telephone Number : 843-745-2184
Fax Number : 843-745-2182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ WHITNEY KAYLA BROCK BSN” Practice Location

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