Individual
KELLEY MARIE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6 DOCTORS DR, GREENVILLE, SC 29605-4265
(864) 522-6430
(864) 522-6435
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175367
VA
363LF0000X
Family Nurse Practitioner
Primary
25281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8136
—
SC
Enumeration date
09/19/2017
Last updated
10/25/2023
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