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Individual

KAELYN BRETT SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
14 EDGEWOOD DR, GREENVILLE, SC 29605-4246
(864) 250-7944
(864) 250-9582
Mailing address
106 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 941-8100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26224
SC

Other

Enumeration date
10/27/2022
Last updated
09/13/2024
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