Rodgers, Kelly S
Rodgers, Kelly S is an individual health care provider with primary practice located at 748 Orangeburg Rd , Summerville SC 29483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodgers, Kelly S can be contacted via phone (843) 832-8606.Contact Information
Primary practice address
748 Orangeburg Rd
Summerville SC 29483
Phone: (843) 832-8606
Fax: (843) 285-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20338 | South Carolina |
Profile Details
| NPI number | 1386639169 |
|---|---|
| LBN Legal business name | Rodgers, Kelly S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jun 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386639169 | NPPES |
| South Carolina | MEDICAID | T44486 |
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