Individual
MISS KELLI HONEYCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5578
Mailing address
791 OLD ISLAND FORD RD, CHESNEE, SC 29323-9211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212068
SC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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