Individual
NIKKI A KEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4818 BLUFFTON PKWY, BLUFFTON, SC 29910-4602
(843) 706-0600
(833) 916-2116
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92085
GA
207Q00000X
Family Medicine Physician
LL30834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308349
—
SC
Enumeration date
06/23/2008
Last updated
09/28/2023
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