MEDICARE: KAYLA LAWS

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
1	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1619696838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA LAWS

Provider Business Mailing Address
First Line	:	2866 HAVERHILL CIR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8922
Country	:	US
Telephone Number	:	843-214-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	2866 HAVERHILL CIR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8922
Country	:	US
Telephone Number	:	843-214-8240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	08/22/2022

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Directions to “ KAYLA LAWS ” Practice Location

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