Padgett, Kelly

Padgett, Kelly is an individual health care provider with primary practice located at 1 River Bottom Rd , Irmo SC 29063-8630. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Padgett, Kelly can be contacted via phone (803) 476-8258.

Contact Information

Primary practice address
1 River Bottom Rd Irmo SC 29063-8630
Phone: (803) 476-8258
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 74895 South Carolina

Profile Details

NPI number 1154750883
LBN Legal business name Padgett, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 11 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 1154750883 NPPES
South Carolina MEDICAID 74895

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