Individual
STEPHANIE ALBERS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2685 LEEDS AVE, NORTH CHARLESTON, SC 29405-6861
(843) 529-3150
(843) 720-3142
Mailing address
2685 LEEDS AVE, NORTH CHARLESTON, SC 29405-6861
(843) 529-3150
(843) 720-3142
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
81452
SC
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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