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Individual

KELLY BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25535
SC
363LF0000X
Family Nurse Practitioner
RN174881
GA
363LF0000X
Family Nurse Practitioner
RN184770
AZ

Other

Enumeration date
04/03/2016
Last updated
10/10/2023
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