Clay, Kelly Anne

Clay, Kelly Anne is an individual health care provider with primary practice located at 2125 Charlie Hall Blvd Suite - 2B, Charleston SC 29414-5879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clay, Kelly Anne can be contacted via phone (843) 852-3151.

Contact Information

Primary practice address
2125 Charlie Hall Blvd Suite - 2B Charleston SC 29414-5879
Phone: (843) 852-3151
Fax: (843) 573-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21500 South Carolina

Profile Details

NPI number 1457327181
LBN Legal business name Clay, Kelly Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1457327181 NPPES
South Carolina MEDICAID 215001

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