Childers, Kelly Jo
Childers, Kelly Jo is an individual health care provider with primary practice located at 1010 Devinney Rd , York SC 29745-2127. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Childers, Kelly Jo can be contacted via phone (803) 684-6159.Contact Information
Primary practice address
1010 Devinney Rd
York SC 29745-2127
Phone: (803) 684-6159
Fax: (803) 684-1916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 205860 | South Carolina |
Profile Details
| NPI number | 1871148528 |
|---|---|
| LBN Legal business name | Childers, Kelly Jo |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2019 |
| Last updated | Aug 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871148528 | NPPES |
| South Carolina | Other | 205860 | BOARD OF NURSING |
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