NPI 1407327273

Zachary T Kelly

Practitioner Certified Registered Nurse Anesthetist Sumter, SC

Practice location

Address: 129 N Washington St, Sumter, SC 29150-4949
Phone: (803) 774-9000
Mailing address: 1925 Adirondack CT, Sumter, SC 29153-8313

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 225946 (SC)

Other Nurse Anesthetist, Certified Registered providers in South Carolina →

Registry record

NPI: 1407327273
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2018
Record last updated: 5 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.