Individual
DR. KELCY HUDDLE ALEXEEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5049 SC-9, INMAN, SC 29349
(864) 472-9019
Mailing address
5049 SC-9, INMAN, SC 29349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8963
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
07/03/2024
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