Malena, Kelly M

Malena, Kelly M is an individual health care provider with primary practice located at 200 Patewood Dr Suite C300, Greenville SC 29615-3593. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Malena, Kelly M can be contacted via phone (864) 454-8272.

Contact Information

Primary practice address
200 Patewood Dr Suite C300 Greenville SC 29615-3593
Phone: (864) 454-8272
Fax: (864) 454-2875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1085 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1085 South Carolina

Profile Details

NPI number 1275588634
LBN Legal business name Malena, Kelly M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 16th, 2011 - about 15 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 1275588634 NPPES
South Carolina MEDICAID 1085

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