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Individual

KELLIE HERNANDEZ SWINDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217547
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
23955
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN3111
SC
Enumeration date
03/06/2020
Last updated
01/25/2022
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