Individual
KELLIE MCCUTCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8052
Mailing address
211 SIMPLICITY DR, MURRELLS INLET, SC 29576-7416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208443
SC
363LF0000X
Family Nurse Practitioner
Primary
24595
SC
Other
Enumeration date
11/11/2020
Last updated
02/01/2021
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