Individual
MRS. KELLY FULMER GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
5232 SUNSET BLVD, LEXINGTON, SC 29072-9347
(803) 756-4744
(803) 520-3125
Mailing address
5232 SUNSET BLVD BLDG 300, LEXINGTON, SC 29072-9347
(803) 756-4744
(803) 520-3125
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1558
—
SC
Enumeration date
02/17/2006
Last updated
07/26/2021
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