Garber, Kelli Marie

Garber, Kelli Marie is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Garber, Kelli Marie can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP009557 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R107809 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18329 South Carolina

Profile Details

NPI number 1215922166
LBN Legal business name Garber, Kelli Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Dec 2nd, 2014 - about 10 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 1215922166 NPPES
Maryland MEDICAID 889560100

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