Provider Demographics
NPI:1447542220
Name:SOMERSET, KEYANA
Entity type:Individual
Prefix:
First Name:KEYANA
Middle Name:
Last Name:SOMERSET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HILLPINE RD
Mailing Address - Street 2:M2
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-2429
Mailing Address - Country:US
Mailing Address - Phone:803-351-8779
Mailing Address - Fax:
Practice Address - Street 1:105 HILLPINE RD
Practice Address - Street 2:M2
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-2429
Practice Address - Country:US
Practice Address - Phone:803-351-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula