Individual
KELLY KESTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(402) 658-4150
Mailing address
99 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
172573
IA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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