Berry, Kacie Lauren Blackwell

Berry, Kacie Lauren Blackwell is an sole proprietor health care provider with primary practice located at 101 East Wood Street , Spartanburg SC 29303. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Berry, Kacie Lauren Blackwell can be contacted via phone (864) 560-8283.

Contact Information

Primary practice address
101 East Wood Street Spartanburg SC 29303
Phone: (864) 560-8283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 217220 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 25669 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 25669 South Carolina

Profile Details

NPI number 1225675218
LBN Legal business name Berry, Kacie Lauren Blackwell
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2019
Last updated Jul 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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