O'Kelly, Amanda Gayle
O'Kelly, Amanda Gayle is an individual health care provider with primary practice located at 727 Se Main St Suite 320, Simpsonville SC 29681-3247. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. O'Kelly, Amanda Gayle can be contacted via phone (864) 454-6440.Contact Information
Primary practice address
727 Se Main St Suite 320
Simpsonville SC 29681-3247
Phone: (864) 454-6440
Fax: (864) 454-6445
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 29908 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29908 | South Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29908 | South Carolina |
Profile Details
NPI number | 1578767323 |
---|---|
LBN Legal business name | O'Kelly, Amanda Gayle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2007 |
Last updated | Mar 23rd, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578767323 | NPPES |
South Carolina | MEDICAID | 299082 |
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