| NPI | 1689472631 | 
|---|---|
| Doing Business As | VITAL ACCESS | 
| Entity Type | Organization | 
| Authorized Contact | VANESIA D KELLY CEO 803-451-0698 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Enumeration Date | 2025-03-05 | 
| Last Update Date | 2025-09-11 |