Kelley, Sarette J

Kelley, Sarette J is an individual health care provider with primary practice located at 180 Wingo Way Suite 207, Mount Pleasant SC 29464-1810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelley, Sarette J can be contacted via phone (843) 884-5101.

Contact Information

Primary practice address
180 Wingo Way Suite 207 Mount Pleasant SC 29464-1810
Phone: (843) 884-5101
Fax: (843) 849-7726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2056 South Carolina

Profile Details

NPI number 1760804256
LBN Legal business name Kelley, Sarette J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2014
Last updated Jul 13th, 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 1760804256 NPPES
South Carolina MEDICAID 1842PA

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