Rucker, Kaitlyn

Rucker, Kaitlyn is an individual health care provider with primary practice located at 125 Medical Cir , West Columbia SC 29169-3655. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rucker, Kaitlyn can be contacted via phone (803) 796-2637.

Contact Information

Primary practice address
125 Medical Cir West Columbia SC 29169-3655
Phone: (803) 796-2637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9184 South Carolina

Profile Details

NPI number 1265928675
LBN Legal business name Rucker, Kaitlyn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jul 9th, 2018 - about 8 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.

Request for update

Popular Providers