person
Randi Bliss Kotal-lee, NP
Gerontology Nurse Practitioner in Seneca, South Carolina
NPI 1932441565

Randi Bliss Kotal-lee is a Gerontology Nurse Practitioner based in Greenville, SC and is specialized in Gerontology. Randi Bliss Kotal-lee practices in Seneca, SC and has the professional credentials of NP. The NPI Number for Randi Bliss Kotal-lee is 1932441565 and holds a License No. RN218154 (South Carolina).

The current practice location address for Randi Bliss Kotal-lee is 390 Keowee School Rd, Seneca, SC and can be reached out via phone at 864-885-7129 and via fax at 864-882-7240. You can also correspond with Randi Bliss Kotal-lee through the mailing address at 300 E MCBEE AVE FL 4, GREENVILLE, SC - 29601-2842 (mailing address contact number: 864-522-8603).

Location: 390 Keowee School Rd, Seneca, SC, 29601-2842
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Provider Profile Details
NPI Number
1932441565
Provider Name
Randi Bliss Kotal-lee
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
390 Keowee School Rd, Seneca, SC, 29601-2842
Phone Number
864-885-7129
Fax Number
864-882-7240
Provider Enumeration Date
03/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2705 05 SC
institution
Provider Business Practice Location Address Details
Address
390 Keowee School Rd
City
State
Zip
29672-6743
Phone Number
864-885-7129
Fax Number
864-882-7240
person
Provider Business Mailing Address Details
Address
300 E Mcbee Ave Fl 4
City
State
Zip
29601-2842
Phone Number
864-522-8603
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN218154 (Georgia)
Definition
Definition to come...
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