Individual
MRS. KELSIE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732-1836
(803) 327-2012
Mailing address
205 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732-1836
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
229411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568476885
—
SC
Enumeration date
06/05/2017
Last updated
06/05/2017
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