Corkery, Susan Kelly
Corkery, Susan Kelly is an individual health care provider with primary practice located at 335 Pleasant Point Dr , Beaufort SC 29907-1164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corkery, Susan Kelly can be contacted via phone (843) 757-1173.Contact Information
Primary practice address
335 Pleasant Point Dr
Beaufort SC 29907-1164
Phone: (843) 757-1173
Fax: (866) 527-0937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334040 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0050-01798 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3430 | South Carolina |
Profile Details
| NPI number | 1346283470 |
|---|---|
| LBN Legal business name | Corkery, Susan Kelly |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 23rd, 2011 - about 13 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 | 1346283470 | NPPES |
| South Carolina | MEDICAID | NP1525 |
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