Provider Demographics
NPI:1033850243
Name:GRAHAM, KAYLA SCHILLING
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:SCHILLING
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:SCHILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 WILLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3116
Mailing Address - Country:US
Mailing Address - Phone:904-697-9135
Mailing Address - Fax:
Practice Address - Street 1:1225 HARDING PL STE 3100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2826
Practice Address - Country:US
Practice Address - Phone:704-355-8686
Practice Address - Fax:704-355-8687
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program