Individual
DR. MATTHEW WYLAND KELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 716-7000
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86462
SC
390200000X
Student in an Organized Health Care Education/Training Program
238310
NC
Other
Enumeration date
03/30/2018
Last updated
06/29/2022
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