Merrell, Kelly Lynn

Merrell, Kelly Lynn is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. 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. Merrell, Kelly Lynn can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3320 South Carolina

Profile Details

NPI number 1275728487
LBN Legal business name Merrell, Kelly Lynn
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Mar 11th, 2020 - about 4 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 1275728487 NPPES
South Carolina Other 1902246077 ARCIS HEALTHCARE GROUP NPI

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