Individual
KELLY NICOLE BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
445 KING STREET, CHARLESTON, SC 29403
(843) 936-7174
(843) 881-5453
Mailing address
570 LONG POINT RD, STE 200, MT PLEASANT, SC 29464-7940
(843) 881-0320
(843) 881-5453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24921
SC
Other
Enumeration date
06/02/2021
Last updated
09/29/2021
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