Individual
NANETTE C KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
817 FARRAR DR, CONWAY, SC 29526-8747
(843) 234-1660
(843) 234-1661
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17929
SC
Other
Enumeration date
07/17/2008
Last updated
06/25/2015
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