Individual
VALERIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 INDIGO SPRINGS RUN, SPARTANBURG, SC 29303-2373
(803) 718-8055
Mailing address
538 INDIGO SPRINGS RUN, SPARTANBURG, SC 29303-2373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253743
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204064002
—
SC
Enumeration date
12/28/2022
Last updated
12/28/2022
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