Individual
KELLY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 PINEDALE DR, DARLINGTON, SC 29532-6013
(843) 398-5088
(843) 398-3390
Mailing address
150 PINEDALE DR, DARLINGTON, SC 29532-6013
(843) 398-5088
(843) 398-3390
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64923
SC
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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