person
Natalie Nicole Kellett
Family Nurse Practitioner in Spartanburg, South Carolina
NPI 1376995159

Natalie Nicole Kellett is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Natalie Nicole Kellett practices in Spartanburg, SC. The NPI Number for Natalie Nicole Kellett is 1376995159 and holds a License No. 20315 (South Carolina).

The current practice location address for Natalie Nicole Kellett is 120 Heywood Avenue Suite 200, Spartanburg, SC and can be reached out via phone at 864-573-9595.

Location: 120 Heywood Avenue Suite 200, Spartanburg, SC, 30374-3070
person
Provider Profile Details
NPI Number
1376995159
Provider Name
Natalie Nicole Kellett
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Heywood Avenue Suite 200, Spartanburg, SC, 30374-3070
Phone Number
864-573-9595
Fax Number
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SC88066084 01 SC MEDICARE PIN
SCA009J577 01 SC MEDICARE PIN
SC88064722 01 SC MEDICARE PTAN
NP3964 05 SC
SC88066067 01 SC MEDICARE PTAN
SC88066121 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
120 Heywood Avenue Suite 200
City
State
Zip
29302
Phone Number
864-573-9595
Fax Number
person
Provider Business Mailing Address Details
Address
120 Heywood Avenue Suite 200
City
State
Zip
29302
Phone Number
864-573-9595
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20315 (South Carolina)
Definition
Definition to come...
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