Calderon, Kellie Rae

Calderon, Kellie Rae is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Calderon, Kellie Rae can be contacted via phone (843) 792-2000.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 253697 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35991 South Carolina

Profile Details

NPI number 1760644066
LBN Legal business name Calderon, Kellie Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Feb 13th, 2014 - about 11 years ago

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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