Individual
ALEXA SCHAE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 632509, CINCINNATI, OH 45263-2508
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
170751
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
31860
SC
Other
Enumeration date
02/08/2021
Last updated
05/14/2026
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