Individual provider · Type 1 NPI

Kayla Lynn Shattuck, PA-C

Physician Assistant · Seneca, SC

NPI number 1629449483 Active

Practice location

100 Omni Dr Ste B
Seneca, SC 29672-9448

Fax (864) 886-9251

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4398 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629449483

Kayla Lynn Shattuck, PA-C's National Provider Identifier is 1629449483, issued on Oct 19, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Seneca, SC. The record was last updated on Aug 21, 2023.