Individual provider · Type 1 NPI

Nicole Keller, PA

Physician Assistant · Sumter, SC

NPI number 1669129458 Active

Practice location

3440 Declaration Blvd
Sumter, SC 29154-8139

Fax (803) 905-3282

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMPA.4324 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669129458

Nicole Keller, PA's National Provider Identifier is 1669129458, issued on Mar 2, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sumter, SC. The record was last updated on Mar 2, 2022.