Individual
KELLY S WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 ARTHUR BLVD, UNION, SC 29379-1714
(864) 429-1737
(864) 429-1799
Mailing address
901 ARTHUR BLVD, UNION, SC 29379-1714
(864) 429-1737
(864) 429-1799
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
45990
SC
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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