Individual
RANDI BLISS KOTAL-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
390 KEOWEE SCHOOL RD, SENECA, SC 29672-6743
(864) 885-7129
(864) 882-7240
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
18472
SC
363LG0600X
Gerontology Nurse Practitioner
RN218154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2705
—
SC
Enumeration date
03/21/2013
Last updated
02/10/2026
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