Kleckley, Suzan M
Kleckley, Suzan M is an individual health care provider with primary practice located at 3815 Faber Place Dr , North Charleston SC 29405-8533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kleckley, Suzan M can be contacted via phone (843) 767-9312.Contact Information
Primary practice address
3815 Faber Place Dr
North Charleston SC 29405-8533
Phone: (843) 767-9312
Fax: (843) 767-9313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN2502 | South Carolina |
Profile Details
| NPI number | 1649247685 |
|---|---|
| LBN Legal business name | Kleckley, Suzan M |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 27th, 2008 - about 18 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 | 1649247685 | NPPES |
| South Carolina | MEDICAID | NP0782 | |
| South Carolina | MEDICAID | GP2517 |
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