Branstetter, Kelly Canada

Branstetter, Kelly Canada is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Branstetter, Kelly Canada can be contacted via phone (803) 434-8450.

Contact Information

Primary practice address
14 Richland Medical Park Dr Ste 310 Columbia SC 29203-6883
Phone: (803) 434-8450
Fax: (803) 758-0137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18707 South Carolina

Profile Details

NPI number 1578988432
LBN Legal business name Branstetter, Kelly Canada
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2014
Last updated Apr 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578988432 NPPES
South Carolina MEDICAID NP3240

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