Individual
MRS. KELLY WILLIAMS RYDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1740 HIGHWAY 160 W, FORT MILL, SC 29708-8025
(866) 389-2727
Mailing address
1912 WEDGEDALE DR, CHARLOTTE, NC 28210-4544
(703) 400-2551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024191517
VA
363LF0000X
Family Nurse Practitioner
Primary
27403
SC
363LF0000X
Family Nurse Practitioner
5016854
NC
363LF0000X
Family Nurse Practitioner
95021706
CA
Other
Enumeration date
09/06/2022
Last updated
10/15/2025
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