Individual
MS. KELSEY LYNETTE COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
8707 FORTE DR, NORTH CHARLESTON, SC 29406-9018
(854) 444-0241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235667
SC
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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