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Search › South Carolina › 183500000X

Kevin Kelly

NPI 1083255681 · on the registry since 2019

Practice

Address
1211 Woodruff Rd
Greenville, SC 29607
Phone
(864) 987-1090
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-18

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