Individual
KELLI GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 FOUNDERS RIDGE RD, COLUMBIA, SC 29229-7105
(803) 800-9878
(803) 661-8309
Mailing address
305 FOUNDERS RIDGE RD, COLUMBIA, SC 29229-7105
(803) 800-9878
(803) 661-8309
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
63624
SC
225000000X
Orthotic Fitter
63624
SC
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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