KELLY BERRY

COLUMBIA, SC
NPI1790148153
Former NameKELLY PRATT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: SC  25535)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: AZ  RN184770)
363LF0000X Nurse Practitioner Family
(Licence: GA  RN174881)
Enumeration Date2016-04-03
Last Update Date2023-10-10
Business Address
KELLY BERRY FNP-C
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
KELLY BERRY FNP-C
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909