Knotts, Kelli Coleman

Knotts, Kelli Coleman is an individual health care provider with primary practice located at 1053 Center Street Sc House Calls Inc, West Columbia SC 29169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Knotts, Kelli Coleman can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
1053 Center Street Sc House Calls Inc West Columbia SC 29169
Phone: (800) 491-0909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17578 South Carolina

Profile Details

NPI number 1972886026
LBN Legal business name Knotts, Kelli Coleman
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2011
Last updated Sep 19th, 2019 - about 5 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 1972886026 NPPES
South Carolina MEDICAID NP2075

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