Individual
KELLIE RENEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4540 TRENHOLM RD, COLUMBIA, SC 29206-4462
(803) 790-4700
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30899
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2025
Last updated
03/18/2026
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