Erin Kelly, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Erin Kelly is licensed to practice in * (Not Available) (license number ) and current practice location is
779 Meeting St Unit A, Charleston, South Carolina. can be reached at office (for appointments etc.) via phone at
(720) 308-7022.
NPI number for Erin Kelly is 1780579862 and current mailing address is 106 Denton Rd, Madisonville, Tennessee.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1780579862.
Provider's Profile
| Full Name | Erin Kelly |
|---|
| Gender | |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 779 Meeting St Unit A, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780579862
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Erin Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780579862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erin Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erin Kelly,
106 Denton Rd,
Madisonville, TN 37354-7807
Ph: () - | Erin Kelly,
779 Meeting St Unit A,
Charleston, SC 29403-3121
Ph: (720) 308-7022 |
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