Harris, Kelly

Harris, Kelly is an sole proprietor health care provider with primary practice located at 1300 Brushy Creek Rd , Taylors SC 29687-4095. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Harris, Kelly can be contacted via phone (864) 355-2829.

Contact Information

Primary practice address
1300 Brushy Creek Rd Taylors SC 29687-4095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 975 South Carolina

Profile Details

NPI number 1942946488
LBN Legal business name Harris, Kelly
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 3 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 1942946488 NPPES
South Carolina Other 975 CERTIFIED ATHLETIC TRAINER

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