Individual
KELLY PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-3305
Mailing address
140 BRANNON CIR, INMAN, SC 29349-8136
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
209650
SC
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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