Individual
KELLY MARIE ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-2731
Mailing address
69 JONATHAN LUCAS ST, MSC 624 CSB HE822, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL52774
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
89955
SC
Other
Enumeration date
06/18/2018
Last updated
06/22/2023
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