Individual
KELLY ADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21065
SC
Other
Enumeration date
06/16/2017
Last updated
12/17/2021
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