Individual
DR. ANN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 S BUNCOMBE RD, GREER, SC 29650-1207
(864) 877-3883
(864) 877-7937
Mailing address
800 PELHAM RD, GREENVILLE, SC 29615-3300
(863) 234-5800
(864) 284-0844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13547
STATE LICENSE
SC
05
—
135473
—
SC
Enumeration date
04/24/2006
Last updated
02/17/2012
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