Individual
KELLY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COUNTRY CLUB DR, BEAUFORT, SC 29907-1112
(978) 290-9707
Mailing address
1 COUNTRY CLUB DR, BEAUFORT, SC 29907-1112
(978) 290-9707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6495
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S92880553
DRIVERS LICENSE NUMBER
MA
Enumeration date
04/29/2022
Last updated
04/29/2022
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