Individual
KEVIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2813 HIGHWAY 378, CONWAY, SC 29527-5307
(843) 397-0822
(843) 397-0777
Mailing address
2813 HIGHWAY 378, CONWAY, SC 29527-5307
(843) 397-0822
(843) 397-0777
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
VT60085353
SC
Other
Enumeration date
10/07/2014
Last updated
01/13/2020
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