Individual
KELLY METTS HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1043 BLACK TOM RD, MONCKS CORNER, SC 29461-8816
(843) 860-7535
Mailing address
1043 BLACK TOM RD, MONCKS CORNER, SC 29461-8816
(843) 860-7535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28247
SC
363LF0000X
Family Nurse Practitioner
Primary
APN28247RX
SC
363LX0106X
Occupational Health Nurse Practitioner
APN28247RX
SC
Other
Enumeration date
01/29/2024
Last updated
03/18/2026
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