Individual
DR. TARA LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2322
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39752
SC
Other
Enumeration date
06/18/2016
Last updated
08/31/2020
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