Individual
MRS. KELLY L EARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN
Contact information
Practice address
4050 BRIDGE VIEW DR, NORTH CHARLESTON, SC 29405-7488
(843) 214-4216
Mailing address
4050 BRIDGE VIEW DR, NORTH CHARLESTON, SC 29405-7488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211989
SC
163WC1500X
Community Health Registered Nurse
211989
SC
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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