Individual
KELLY NICOLE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4920 OHEAR AVE, NORTH CHARLESTON, SC 29405-5093
(843) 856-3784
(843) 856-3788
Mailing address
4920 OHEAR AVE, NORTH CHARLESTON, SC 29405-5093
(574) 238-9266
(843) 856-3788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61216
SC
207Q00000X
Family Medicine Physician
7695
KS
207Q00000X
Family Medicine Physician
DR.0054489
CO
Other
Enumeration date
06/23/2011
Last updated
10/05/2023
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