Wickliffe-Keisler, Karen Leanne
Wickliffe-Keisler, Karen Leanne is an individual health care provider with primary practice located at 1520 Boiling Springs Rd , Boiling Springs SC 29316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Wickliffe-Keisler, Karen Leanne can be contacted via phone (864) 583-6381.Contact Information
Primary practice address
1520 Boiling Springs Rd
Boiling Springs SC 29316
Phone: (864) 583-6381
Fax: (864) 583-6390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | LL29782 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD29782 | South Carolina |
Profile Details
| NPI number | 1235333634 |
|---|---|
| LBN Legal business name | Wickliffe-Keisler, Karen Leanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 9th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235333634 | NPPES |
| South Carolina | Other | 7292 | MEDICARE GROUP NUMBER |
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