Provider Demographics
NPI:1407591209
Name:EPTING, KAYLEY MILES (APRN)
Entity type:Individual
Prefix:
First Name:KAYLEY
Middle Name:MILES
Last Name:EPTING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KAYLEY
Other - Middle Name:ANN
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 SALUDA RIDGE CT
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3455
Practice Address - Country:US
Practice Address - Phone:803-794-3320
Practice Address - Fax:803-794-3157
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily