Speronis, Kristy F

Speronis, Kristy F is an individual health care provider with primary practice located at 1315 Roberts St , Camden SC 29020-3737. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Speronis, Kristy F can be contacted via phone (803) 713-6229.

Contact Information

Primary practice address
1315 Roberts St Camden SC 29020-3737
Phone: (803) 713-6229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2612 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2612 South Carolina

Profile Details

NPI number 1508920265
LBN Legal business name Speronis, Kristy F
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 12th, 2016 - about 8 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 1508920265 NPPES
South Carolina Other 576005963 TAX ID #

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