Reese, Kelly A

Reese, Kelly A is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reese, Kelly A can be contacted via phone (803) 776-4000.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334655-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18046 South Carolina

Profile Details

NPI number 1104899483
LBN Legal business name Reese, Kelly A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 12th, 2021 - about 3 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 1104899483 NPPES
New York MEDICAID 02735160

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