KELLY BAILEY KRUSE

CHARLESTON, SC
NPI1942235247
Former NameKELLY L. BAILEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  496)
Enumeration Date2006-07-12
Last Update Date2022-06-08
Business Address
Mrs. KELLY BAILEY KRUSE PAC
2093 HENRY TECKLENBURG DR STE 200
CHARLESTON, SC 29414-5742
Phone number: 843-958-2500
Mailing Address
Mrs. KELLY BAILEY KRUSE PAC
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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