Prock, Kel Z Gaskin
Prock, Kel Z Gaskin is an sole proprietor health care provider with primary practice located at 3603 Kingsley Dr , Myrtle Beach SC 29588-7713. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Prock, Kel Z Gaskin can be contacted via phone (843) 424-5450.Contact Information
Primary practice address
3603 Kingsley Dr
Myrtle Beach SC 29588-7713
Phone: (843) 424-5450
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2713 | South Carolina |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2713 | South Carolina |
Profile Details
NPI number | 1003034331 |
---|---|
LBN Legal business name | Prock, Kel Z Gaskin |
Credentials | MSR, OTR L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2007 |
Last updated | Jul 31st, 2023 - about 2 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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