Individual
SCOTT A KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Mailing address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15032
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305654
—
SC
05
—
LL9495
—
SC
05
—
PC3251
—
SC
Enumeration date
06/13/2006
Last updated
04/01/2014
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