Individual
JONATHAN C KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
445 SAVANNAH HWY, CHARLESTON, SC 29407
(843) 766-2121
(843) 766-8644
Mailing address
445 SAVANNAH HWY, CHARLESTON, SC 29407-7207
(843) 766-2121
(843) 766-8644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3950
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1300
—
SC
Enumeration date
07/12/2006
Last updated
07/02/2018
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