Individual
KELSEY SHANAY CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7061 NORWAY RD, NEESES, SC 29107-9021
(803) 263-4086
Mailing address
7061 NORWAY RD, NEESES, SC 29107-9021
(803) 813-1325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24639
SC
Other
Enumeration date
09/13/2022
Last updated
04/30/2024
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