Individual
KELSIE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
(843) 790-4093
Mailing address
421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5603
SC
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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