Individual
MARY KATHERINE KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3221 SUNSET BLVD, WEST COLUMBIA, SC 29169-3498
(803) 791-1170
(803) 791-1101
Mailing address
4416 FOREST DR, COLUMBIA, SC 29206-3104
(803) 782-4278
(803) 782-3445
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
6011
SC
225100000X
Physical Therapist
Primary
6011
SC
Other
Enumeration date
07/23/2009
Last updated
01/05/2021
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