Individual
MRS. KELCYE YATES RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 WEST FRONT STREET, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Mailing address
300 WEST FRONT STREET, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2049
SC
363A00000X
Physician Assistant
TL2049
SC
Other
Enumeration date
01/09/2014
Last updated
02/11/2015
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