Individual provider · Type 1 NPI
Beaulah Prioleau Kelly, RN
General Practice Registered Nurse · Columbia, SC
NPI number
1285307801
Active
Practice location
2000 Hampton St
Columbia, SC 29204-1002
Fax (803) 576-2985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 74202 (SC) |
General Practice Registered Nurse: Definition to come...
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About NPI 1285307801
Beaulah Prioleau Kelly, RN's National Provider Identifier is 1285307801, issued on Jul 29, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Columbia, SC. The record was last updated on Jul 29, 2021.