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Contact Information

KELLY HARRIS, ATC
1300 BRUSHY CREEK RD
TAYLORS, SC29687-4095
 Phone: 864-355-2829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for KELLY HARRIS · (Female)

NPI # 1942946488
Status Active
Credentials ATC
Entity Individual
Enumeration date 05/09/2022
Last updated 05/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 975
  • SC Other 975 CERTIFIED ATHLETIC TRAINER
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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