Quirk, Kelly Lynn

Quirk, Kelly Lynn is an individual health care provider with primary practice located at 801 N Hamilton St , Williamston SC 29697-1061. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Quirk, Kelly Lynn can be contacted via phone (864) 847-7344.

Contact Information

Primary practice address
801 N Hamilton St Williamston SC 29697-1061
Phone: (864) 847-7344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 184083 South Carolina

Profile Details

NPI number 1053759522
LBN Legal business name Quirk, Kelly Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 6th, 2013 - about 13 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 1053759522 NPPES
South Carolina MEDICAID 1104973577

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