Individual
MRS. KIMBERLY L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AUD.
Contact information
Practice address
1116 ALICE DR STE F, SUMTER, SC 29150-1941
(803) 469-7770
(803) 469-7701
Mailing address
1116 ALICE DR STE F, SUMTER, SC 29150-1941
(803) 469-7770
(803) 469-7701
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0179
—
SC
Enumeration date
10/15/2007
Last updated
10/15/2007
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