Individual
KELSEY RENEE FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-3826
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425
(843) 876-8023
(843) 792-9706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL83251
SC
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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