Johnston, Kelli Elizabeth
Johnston, Kelli Elizabeth is an individual health care provider with primary practice located at 1834 Bluebird Rd , Johns Island SC 29455-8308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnston, Kelli Elizabeth can be contacted via phone (843) 894-3490.Contact Information
Primary practice address
1834 Bluebird Rd
Johns Island SC 29455-8308
Phone: (843) 894-3490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 927 | South Carolina |
Profile Details
| NPI number | 1689797268 |
|---|---|
| LBN Legal business name | Johnston, Kelli Elizabeth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jan 8th, 2024 - about 10 months 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 | 1689797268 | NPPES |
| South Carolina | MEDICAID | 009270 |
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