Individual provider · Type 1 NPI

Mary B. Kelly, NP

Adult Health Nurse Practitioner · Myrtle Beach, SC

NPI number 1114131356 Active

Practice location

5046 Highway 17 Byp S, Suite 202 And Suite 203
Myrtle Beach, SC 29588-4503

Fax (843) 294-1945

Mailing address

PO Box 4746
Pawleys Island, SC 29585-8746

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XSC APN1721 (SC)
Adult Health Nurse Practitioner Primary 363LA2200XSC APN1721 (SC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114131356

Mary B. Kelly, NP's National Provider Identifier is 1114131356, issued on May 9, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 26, 2014.