Individual
KELLY ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
12 BLACKBERRY VALLEY RD, GREENVILLE, SC 29617-6702
(706) 604-2560
Mailing address
12 BLACKBERRY VALLEY RD, GREENVILLE, SC 29617-6702
(706) 604-2560
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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