Lookup NPI Numbers from the NPI Registry
NPI Profile for GWENDELL M KELLEY in ANDERSON, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1194222539 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 04/11/2018 | |
| Last updated | 08/08/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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GWENDELL M KELLEY
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GWENDELL M KELLEY, APRN