Kelecava, Tracy

Kelecava, Tracy is an individual health care provider with primary practice located at 8311 Warren H Abernathy Hwy Suite 300 Regional Healthplus, Spartanburg SC 29301-1249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kelecava, Tracy can be contacted via phone (864) 560-9696.

Contact Information

Primary practice address
8311 Warren H Abernathy Hwy Suite 300 Regional Healthplus Spartanburg SC 29301-1249
Phone: (864) 560-9696
Fax: (864) 562-5230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 18527 South Carolina

Profile Details

NPI number 1487079877
LBN Legal business name Kelecava, Tracy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2014
Last updated Sep 24th, 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 1487079877 NPPES
South Carolina MEDICAID NP2845

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