Kelly, Debra A.

Kelly, Debra A. is an individual health care provider with primary practice located at 160 Medical Cir , West Columbia SC 29169-3656. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Debra A. can be contacted via phone (803) 796-6811.

Contact Information

Primary practice address
160 Medical Cir West Columbia SC 29169-3656
Fax: (803) 796-6851
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4780 South Carolina

Profile Details

NPI number 1730258104
LBN Legal business name Kelly, Debra A.
Credentials L.M.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 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.

Request for update

Popular Providers