Individual
KELVIN GERARD BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3010 FARROW RD, SUITE 300, COLUMBIA, SC 29203-7607
(803) 434-2937
(803) 434-4331
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 434-2937
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17627
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2026
—
SC
Enumeration date
02/17/2012
Last updated
09/06/2012
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