Kaelynn Renee Gaboury, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Kaelynn Renee Gaboury is licensed to practice in * (Not Available) (license number ) and her current practice location is
250 Rutledge Ave Apt B, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(413) 544-8560.
NPI number for Kaelynn Renee Gaboury is 1689438293 and her current mailing address is 250 Rutledge Ave Apt B, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689438293.
Provider's Profile
| Full Name | Kaelynn Renee Gaboury |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 250 Rutledge Ave Apt B, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689438293
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Kaelynn Renee Gaboury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689438293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaelynn Renee Gaboury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kaelynn Renee Gaboury,
250 Rutledge Ave Apt B,
Charleston, SC 29403-5691
Ph: (413) 544-8560 | Kaelynn Renee Gaboury,
250 Rutledge Ave Apt B,
Charleston, SC 29403-5691
Ph: (413) 544-8560 |
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