Lyles, Kelly Waters

Lyles, Kelly Waters is an individual health care provider with primary practice located at 360 N Irby St , Florence SC 29501-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lyles, Kelly Waters can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
360 N Irby St Florence SC 29501-2808
Fax: (843) 667-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15705 South Carolina

Profile Details

NPI number 1073585550
LBN Legal business name Lyles, Kelly Waters
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 24th, 2016 - about 8 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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