Gaymon, Kadeidre La'Trell

Gaymon, Kadeidre La'Trell is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Wound Care, Nursing Service Providers / Critical Care Medicine. Nursing Service Providers / Critical Care Medicine is her primary health care specialty. Gaymon, Kadeidre La'Trell can be contacted via phone (803) 920-6625.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Phone: (803) 920-6625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 249257 South Carolina
Nursing Service Providers / Home Health 163WH0200X 249257 South Carolina
Nursing Service Providers / Wound Care 163WW0000X 249257 South Carolina
Nursing Service Providers / Critical Care Medicine 163WC0200X 249257 South Carolina

Profile Details

NPI number 1891460853
LBN Legal business name Gaymon, Kadeidre La'Trell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Aug 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891460853 NPPES
Tennessee Other PVF908740801 BLUE CROSS BLUE SHIELD

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