Clune, Kelli Diane

Clune, Kelli Diane is an individual health care provider with primary practice located at 115 E Alexander Ave , Greenwood SC 29646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clune, Kelli Diane can be contacted via phone (864) 227-1623.

Contact Information

Primary practice address
115 E Alexander Ave Greenwood SC 29646
Phone: (864) 227-1623
Fax: (864) 227-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21357 South Carolina

Profile Details

NPI number 1346747995
LBN Legal business name Clune, Kelli Diane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated May 24th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346747995 NPPES
South Carolina MEDICAID NP6342

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