KELLY METTS ELLIS

CHARLESTON, SC
NPI1821850447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  APN28247RX)
Additional Taxonomies363LX0106X Nurse Practitioner, Occupational Health
(Licence: SC  APN28247RX)
363L00000X Nurse Practitioner
(Licence: SC  28247)
Enumeration Date2024-01-29
Last Update Date2025-11-20
Business Address
KELLY METTS ELLIS APRN
169 ASHLEY AVE
CHARLESTON, SC 29425-8905
Phone number: 843-792-3829
Mailing Address
KELLY METTS ELLIS APRN
PO BOX 23321
NEW YORK, NY 10087-3321
Phone number: 843-792-3829