Individual
KEELY KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MORGAN RD, HODGES, SC 29653-9792
(864) 833-0000
Mailing address
1211 MORGAN RD, HODGES, SC 29653-9792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32376
SC
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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