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Contact Information

KAYLA B BENNETT
403 STONY LANDING RD
MONCKS CORNER, SC29461-3967
 Phone: 843-761-8282
 Fax: 843-761-7308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KAYLA B BENNETT · (Female)

NPI Number 1679104640
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2020
Last updated 01/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SC Medicaid 435201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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