Individual provider · Type 1 NPI

Kadeidre La'trell Gaymon

Critical Care Medicine Registered Nurse · Columbia, SC

NPI number 1891460853 Active

Practice location

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Mailing address

286 Liberty Ridge Dr
Elgin, SC 29045-7905

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X249257 (SC)
Home Health Registered Nurse 163WH0200X249257 (SC)
Wound Care Registered Nurse 163WW0000X249257 (SC)
Critical Care Medicine Registered Nurse Primary 163WC0200X249257 (SC)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1891460853

Kadeidre La'trell Gaymon's National Provider Identifier is 1891460853, issued on Aug 11, 2021. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Columbia, SC. The record was last updated on Aug 11, 2021.