Miner, Kelly David

Miner, Kelly David is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miner, Kelly David can be contacted via phone (864) 522-3700.

Contact Information

Primary practice address
7 Independence Pt Ste 300 Greenville SC 29615-4569
Fax: (864) 522-3705
Website:

Profile Details

NPI number 1659351443
LBN Legal business name Miner, Kelly David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 17th, 2023 - about 3 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 1659351443 NPPES
South Carolina MEDICAID AN2255

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