Individual
KRISTIN E KALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2575
(803) 791-2577
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20381
SC
363LA2200X
Adult Health Nurse Practitioner
002816
CT
363LA2200X
Adult Health Nurse Practitioner
269988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5006993
NC NP LICENSE
NC
Enumeration date
07/28/2006
Last updated
11/09/2020
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