person
Kelly K Niermeier, CPNP
Pediatric Nurse Practitioner in West Columbia, South Carolina
NPI 1861855645

Kelly K Niermeier is a Pediatric Nurse Practitioner based in Columbia, SC and is specialized in Pediatrics. Kelly K Niermeier practices in West Columbia, SC and has the professional credentials of CPNP. The NPI Number for Kelly K Niermeier is 1861855645 and holds a License No. 0024173395 (South Carolina).

The current practice location address for Kelly K Niermeier is 500 N 12Th St, West Columbia, SC and can be reached out via phone at 803-217-0415 and via fax at 803-939-1650. You can also correspond with Kelly K Niermeier through the mailing address at PO BOX 3788, COLUMBIA, SC - 29230-3788 (mailing address contact number: 803-733-5969).

Location: 500 N 12Th St, West Columbia, SC, 29230-3788
person
Provider Profile Details
NPI Number
1861855645
Provider Name
Kelly K Niermeier
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
500 N 12Th St, West Columbia, SC, 29230-3788
Phone Number
803-217-0415
Fax Number
803-939-1650
Provider Enumeration Date
03/30/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21241 05 SC
NP4742 05 SC
institution
Provider Business Practice Location Address Details
Address
500 N 12Th St
City
State
Zip
29169-6502
Phone Number
803-217-0415
Fax Number
803-939-1650
person
Provider Business Mailing Address Details
Address
500 N 12Th St
City
State
Zip
29169-6502
Phone Number
803-217-0415
Fax Number
803-939-1650
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
0024173395 (Virginia)
Definition
Definition to come...
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