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Mrs. Keionda Crumblin Caldwell, NURSEPRACTITIONER
Family Nurse Practitioner in Columbia, South Carolina
NPI 1487185484

Keionda Crumblin Caldwell is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Keionda Crumblin Caldwell practices in Columbia, SC and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Keionda Crumblin Caldwell is 1487185484 and holds a License No. 20857 (South Carolina).

The current practice location address for Keionda Crumblin Caldwell is 4605 Monticello Rd Ste 2, Columbia, SC and can be reached out via phone at 803-753-5590.

Location: 4605 Monticello Rd Ste 2, Columbia, SC, 29230-3788
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Provider Profile Details
NPI Number
1487185484
Provider Name
Keionda Crumblin Caldwell
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
4605 Monticello Rd Ste 2, Columbia, SC, 29230-3788
Phone Number
803-753-5590
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4722 05 SC
institution
Provider Business Practice Location Address Details
Address
4605 Monticello Rd Ste 2
City
State
Zip
29203-4156
Phone Number
803-753-5590
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Monticello Rd Ste 2
City
State
Zip
29203-4156
Phone Number
803-753-5590
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20857 (South Carolina)
Definition
Definition to come...
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