Individual
MIRANDA KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1056 FELTON ST, SUMMERTON, SC 29148-7169
(843) 819-4021
Mailing address
2544 PRINCESS POND RD, SUMMERTON, SC 29148-8446
(843) 609-2033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25256
SC
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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