Individual
KELLI ELIZABETH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1834 BLUEBIRD RD, JOHNS ISLAND, SC 29455-8308
(843) 894-3490
(833) 450-6022
Mailing address
1834 BLUEBIRD RD OFC 7, JOHNS ISLAND, SC 29455-8308
(843) 894-3490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
927
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009270
—
SC
Enumeration date
04/09/2007
Last updated
10/02/2024
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