Individual
KELLY OSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 WESTMINSTER HWY, WESTMINSTER, SC 29693-1515
(864) 886-4525
Mailing address
113 WINTERBROOK CIR, SENECA, SC 29678-5747
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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