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Dr. C.w. Kelly Parke, MD
Specialist in Easley, South Carolina
NPI 1619958485

C.w. Kelly Parke is a Specialist based in Easley, SC. C.w. Kelly Parke practices in Easley, SC and has the professional credentials of MD. The NPI Number for C.w. Kelly Parke is 1619958485 and holds a License No. 28367 (South Carolina).

The current practice location address for C.w. Kelly Parke is 129 Fleetwood Dr, Easley, SC and can be reached out via phone at 864-855-4255 and via fax at 864-855-4439.

Location: 129 Fleetwood Dr, Easley, SC, 29640-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619958485
Provider Name
C.w. Kelly Parke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
129 Fleetwood Dr, Easley, SC, 29640-2019
Phone Number
864-855-4255
Fax Number
864-855-4439
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283678 05 SC
institution
Provider Business Practice Location Address Details
Address
129 Fleetwood Dr
City
Easley
State
South Carolina
Zip
29640-2019
Phone Number
864-855-4255
Fax Number
864-855-4439
person
Provider Business Mailing Address Details
Address
129 Fleetwood Dr
City
Easley
State
South Carolina
Zip
29640-2019
Phone Number
864-855-4255
Fax Number
864-855-4439
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28367 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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