Kierstan Ellis

NPI 1821972894 · on the registry since 2025

Practice

Address: 4975 Lacross Rd Ste 351
North Charleston, SC 29406
Phone: (803) 403-0294
Organisation at this address: The Breast Place Llc
Taylor Consultants, Llc
Melange Health Solutions, Llc
Mid-South Home Care Services, Llc
Centerwell Certified Healthcare Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-08-04

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