Connelly, Karen L.
Connelly, Karen L. is an individual health care provider with primary practice located at 1995 Saint Matthews Rd , Orangeburg SC 29118-2405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Connelly, Karen L. can be contacted via phone (803) 928-5525.Contact Information
Primary practice address
1995 Saint Matthews Rd
Orangeburg SC 29118-2405
Phone: (803) 928-5525
Fax: (803) 928-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14956 | South Carolina |
Profile Details
| NPI number | 1689672974 |
|---|---|
| LBN Legal business name | Connelly, Karen L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | May 20th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689672974 | NPPES |
| South Carolina | MEDICAID | GP0966 |
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