NPI 1003590514
Kayla Ross
Practice location
- Address
- 18 Memorial Medical Dr, Greenville, SC 29605-4452
- Phone
- (706) 842-5330
- Fax
- (706) 842-5340
- Mailing address
- PO Box 2567, Augusta, GA 30903-2567
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003590514
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jun 2023
- Record last updated
- 14 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.