Clay, Kelly Anne
Clay, Kelly Anne is an individual health care provider with primary practice located at 2125 Charlie Hall Blvd Suite - 2B, Charleston SC 29414-5879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clay, Kelly Anne can be contacted via phone (843) 852-3151.Contact Information
Primary practice address
2125 Charlie Hall Blvd Suite - 2B
Charleston SC 29414-5879
Phone: (843) 852-3151
Fax: (843) 573-1537
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21500 | South Carolina |
Profile Details
NPI number | 1457327181 |
---|---|
LBN Legal business name | Clay, Kelly Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1457327181 | NPPES |
South Carolina | MEDICAID | 215001 |
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