Individual
KEITH BRANDON HASELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
319 FOLLY RD, CHARLESTON, SC 29412-2518
(843) 203-2246
(843) 203-2247
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020599
NY
363A00000X
Physician Assistant
Primary
5566
SC
Other
Enumeration date
02/15/2017
Last updated
06/26/2025
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