Individual
MRS. MARY PRATT KEILTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 WELWYN PL, COLUMBIA, SC 29212-2891
(803) 749-7868
Mailing address
25 WELWYN PL, COLUMBIA, SC 29212-2891
(803) 749-7868
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R57737
SC
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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