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 3240 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-359-8855 and via fax at 803-794-6480.

Location: 3240 Sunset Blvd, 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
3240 Sunset Blvd, West Columbia, SC, 29230-3788
Phone Number
803-359-8855
Fax Number
803-794-6480
Provider Enumeration Date
03/30/2016
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4742 05 SC
21241 05 SC
institution
Provider Business Practice Location Address Details
Address
3240 Sunset Blvd
City
State
Zip
29169-3428
Phone Number
803-359-8855
Fax Number
803-794-6480
person
Provider Business Mailing Address Details
Address
3240 Sunset Blvd
City
State
Zip
29169-3428
Phone Number
803-359-8855
Fax Number
803-794-6480
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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