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Individual

KELLY LYNN SCHICKLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
772 N TOWNVILLE ST, SENECA, SC 29678-2645
(864) 886-9300
(864) 886-9399
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
25891
SC
363LA2200X
Adult Health Nurse Practitioner
308547
NY

Other

Enumeration date
02/02/2018
Last updated
05/02/2022
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