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Individual

MRS. KELSEY MARIE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 454-2600
(803) 765-1732

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95139914
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
31054
SC
367500000X
Certified Registered Nurse Anesthetist
95002550
CA

Other

Enumeration date
01/12/2024
Last updated
03/18/2026
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