KELLY CANADA BRANSTETTER

COLUMBIA, SC
NPI1578988432
Former NameKELLY ELIZABETH CANADA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  18707)
Enumeration Date2014-02-28
Last Update Date2021-04-28
Business Address
KELLY CANADA BRANSTETTER CPNP
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203-6883
Phone number: 803-434-8450
Mailing Address
KELLY CANADA BRANSTETTER CPNP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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