Individual
KELSEY RAE GERUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9302 MEDICAL PLAZA DRIVE, SUITE C, LTC HEALTH SOLUTIONS, N. CHARLESTON, SC 29406
(864) 751-6424
(864) 751-6430
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA LTC HEALTH SOLUTIO, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3009576
KY
Other
Enumeration date
07/03/2015
Last updated
01/13/2017
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