Individual
KELLY MICHELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
136 STONEMARK LN STE 100C, COLUMBIA, SC 29210-3881
(888) 704-4661
(888) 239-2595
Mailing address
2050 SUNSET DR, SENECA, SC 29672-7959
(864) 506-3232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30221
SC
Other
Enumeration date
04/08/2025
Last updated
08/21/2025
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