Individual
KELLY AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4819 BLUFFTON PKWY, BLUFFTON, SC 29910-4622
(843) 757-2251
Mailing address
1 OXEN LN, BLUFFTON, SC 29910-4721
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95592 R
SC
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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