Individual
KELLI WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PATEWOOD DR STE B260, GREENVILLE, SC 29615-6328
(864) 454-2852
(864) 454-2899
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0029188
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
30012
SC
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0029188
OH
Other
Enumeration date
07/01/2021
Last updated
04/21/2025
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