Provider Demographics
NPI:1053977413
Name:ABEID, KAYLA (DC)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:ABEID
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FRYING PAN CT
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-7462
Mailing Address - Country:US
Mailing Address - Phone:330-774-1052
Mailing Address - Fax:
Practice Address - Street 1:222 FRYING PAN CT
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-7462
Practice Address - Country:US
Practice Address - Phone:330-774-1052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor