Individual
KELLY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-6598
Mailing address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR10639200
NJ
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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