Provider Demographics
NPI:1821649989
Name:HOOVER, KAYCE MARIE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAYCE
Middle Name:MARIE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KAYCE
Other - Middle Name:M
Other - Last Name:YARBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 W MEETING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2246
Mailing Address - Country:US
Mailing Address - Phone:803-285-7414
Mailing Address - Fax:803-283-4329
Practice Address - Street 1:1025 W MEETING ST STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2246
Practice Address - Country:US
Practice Address - Phone:803-285-7414
Practice Address - Fax:803-283-4329
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23262363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC23262OtherSC BOARD OF NURSING
SCF09190175OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD