Individual
RICHARD S KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 W MONTAGUE AVE STE 222, N CHARLESTON, SC 29418-7916
(843) 343-4445
(843) 825-7075
Mailing address
200 RIVER LANDING DR UNIT 407B, DANIEL ISLAND, SC 29492-8443
(843) 607-6730
(843) 825-7075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248903
—
SC
Enumeration date
06/30/2006
Last updated
05/20/2024
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