Individual
MRS. KELLY MICHELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
600 N FANT ST, ANDERSON, SC 29621-5704
(864) 512-2000
Mailing address
1000 CARLISLE PL, ANDERSON, SC 29621-3684
(864) 276-1948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28572
SC
Other
Enumeration date
02/06/2024
Last updated
09/03/2024
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