Individual
KELLY LYNN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
PO BOX 12810, BELFAST, ME 04915-4019
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902246077
ARCIS HEALTHCARE GROUP NPI
SC
Enumeration date
09/11/2007
Last updated
03/11/2020
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