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Contact Information

KELLY S DACRE
1135 GREGG HWY NW
AIKEN, SC29801-6341
 Phone: 803-641-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for KELLY S DACRE · (Female)

NPI # 1114705969
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2023
Last updated 09/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 258436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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