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Mrs. Kelly Tiller, NP-C
Family Nurse Practitioner in Anderson, South Carolina
NPI 1457897837

Kelly Tiller is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Kelly Tiller practices in Anderson, SC and has the professional credentials of NP-C. The NPI Number for Kelly Tiller is 1457897837 and holds a License No. 20683 (South Carolina).

The current practice location address for Kelly Tiller is 2000 E Greenville St, Anderson, SC and can be reached out via phone at 864-512-4500.

Location: 2000 E Greenville St, Anderson, SC, 29202-3174
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Provider Profile Details
NPI Number
1457897837
Provider Name
Kelly Tiller
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2000 E Greenville St, Anderson, SC, 29202-3174
Phone Number
864-512-4500
Fax Number
Provider Enumeration Date
01/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4370 05 SC
SCA0517111 01 SC MEDICARE
institution
Provider Business Practice Location Address Details
Address
2000 E Greenville St
City
State
Zip
29621-1580
Phone Number
864-512-4500
Fax Number
person
Provider Business Mailing Address Details
Address
2000 E Greenville St
City
State
Zip
29621-1580
Phone Number
864-512-4500
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20683 (South Carolina)
Definition
Definition to come...
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