SearchSouth Carolina235Z00000X

Kellie Malo

NPI 1053041533 · on the registry since 2022 · sole proprietor

Practice

Address
124 Secret Cove Dr
Lexington, SC 29072
Phone
(803) 612-0062

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina