Individual
KELSEY GAINEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
234 ROOSEVELT DR, EUTAWVILLE, SC 29048-8744
(843) 499-2608
Mailing address
234 ROOSEVELT DR, EUTAWVILLE, SC 29048-8744
(843) 499-2608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51404
SC
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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