Kelly, Mary B

Kelly, Mary B is an individual health care provider with primary practice located at 5046 Highway 17 Byp S Suite 202 And Suite 203, Myrtle Beach SC 29588-4503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kelly, Mary B can be contacted via phone (843) 294-1941.

Contact Information

Primary practice address
5046 Highway 17 Byp S Suite 202 And Suite 203 Myrtle Beach SC 29588-4503
Phone: (843) 294-1941
Fax: (843) 294-1945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SC APN1721 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SC APN1721 South Carolina

Profile Details

NPI number 1114131356
LBN Legal business name Kelly, Mary B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Mar 26th, 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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