Individual
CHANIQUE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1860 TURKEY PEN RD, CHARLESTON, SC 29412-3901
(843) 225-8294
Mailing address
1001 BURNT HICKORY RD NW APT 915, MARIETTA, GA 30064-1374
(843) 367-3723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN221431
GA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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