KELLY CANADA BRANSTETTER CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1578988432- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 14 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC, 292036883
- Phone
- (803) 434-8450
- Fax
- (803) 758-0137
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: SC #18707