Huntley, Elizabeth Kelly

Huntley, Elizabeth Kelly is an individual health care provider with primary practice located at 955 Ribaut Rd , Beaufort SC 29902-5454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Huntley, Elizabeth Kelly can be contacted via phone (843) 522-5775.

Contact Information

Primary practice address
955 Ribaut Rd Beaufort SC 29902-5454
Phone: (843) 522-5775
Fax: (843) 522-5975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL41065 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41065 South Carolina

Profile Details

NPI number 1508387861
LBN Legal business name Huntley, Elizabeth Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 30th, 2021 - 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 1508387861 NPPES
South Carolina MEDICAID 410656

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