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Contact Information

NATALIE N KELLETT
120 HEYWOOD AVENUE SUITE 200
SPARTANBURG, SC29302
 Phone: 864-573-9595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NATALIE N KELLETT · (Female)

NPI # 1376995159
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2016
Last updated 01/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 20315
  • SC Medicaid NP3964
  • SC Other SC88066084 MEDICARE PIN
  • SC Other SCA009J577 MEDICARE PIN
  • SC Other SC88064722 MEDICARE PTAN
  • SC Other SC88066067 MEDICARE PTAN
  • SC Other SC88066121 MEDICARE PTAN
Hospital affiliation(s)
  • SPARTANBURG REGIONAL MEDICAL CENTER - (Acute Care)
    101 E WOOD ST
    SPARTANBURG, SC 29303
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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