MEDICARE: KARA SEANOR MS

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1881196541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA SEANOR MS

Provider Business Mailing Address
First Line	:	122 FIREHOLE RD
Second Line	:
City	:	GRAY COURT
State	:	SC
Zip	:	29645-3179
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 OFFICE PARK CT STE 103
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-5948
Country	:	US
Telephone Number	:	800-516-0975
Fax Number	:

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

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	02/25/2025

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