Individual
DR. KELLY L. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
2541 EVANS ST STE 200, NEWBERRY, SC 29108-2963
(803) 276-0201
Mailing address
2541 EVANS ST STE 200, NEWBERRY, SC 29108-2963
(803) 924-7185
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
003241
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
003241
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD28173
SC
Other
Enumeration date
11/07/2006
Last updated
07/27/2021
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