Individual
DR. KELSEY HALLINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
2660 REIDVILLE RD UNIT 1, SPARTANBURG, SC 29301-3512
(864) 560-9696
(864) 560-9636
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
24804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7456
—
SC
01
—
SCJ8696067
MEDICARE PIN
SC
Enumeration date
03/18/2021
Last updated
04/15/2021
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