Individual
DR. HANNAH KELLAM KLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, FNP-C
Contact information
Practice address
1500 HIGHWAY 17 N STE 101, SURFSIDE BEACH, SC 29575-6079
(843) 604-3012
Mailing address
1602 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-3332
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
240564
SC
363LF0000X
Family Nurse Practitioner
24116
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24116
SC
Other
Enumeration date
06/11/2020
Last updated
05/08/2025
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