Kalah Ainsworth, DO
Family Medicine in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1457739377
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1457739377
- Entity type
- Individual (NPI-1)
- Name
- Kalah Ainsworth
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2015
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 83785 | SC | Yes |
Practice location
6010 Highway 707Ste 100
Myrtle Beach, SC 29588-7321
Phone 843-234-8939 · Fax 843-234-8959
Mailing address
300 Singleton Ridge RdAttention Pns Credentialing
Conway, SC 29526-9142
Phone 843-234-6946
Other practice locations
1301 Creel St
Conway, SC 29527-5018
Conway, SC 29527-5018
Phone 843-248-4414 · Fax 843-248-3781
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