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1215792890
CAROLINE KENNERLY
WEST COLUMBIA, SC
NPI
1215792890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 29388)
Enumeration Date
2024-02-14
Last Update Date
2024-09-24
Business Address
CAROLINE KENNERLY
2728 SUNSET BLVD STE 300
WEST COLUMBIA, SC 29169-4815
Phone number: 803-744-4900
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Mailing Address
CAROLINE KENNERLY
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-744-4900
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