Individual
KELLY ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 530-2012
Mailing address
4841 OAK LEAF RD, SUMMERVILLE, SC 29485-8868
(843) 530-2012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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