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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE KELLER, PA

Active

NICOLE KELLER, PA is a Physician Assistant healthcare provider located in SUMTER, South Carolina. NPI 1669129458 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUMTER, SC

Registration Details

NPI Number
1669129458
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2022 (4.4449225293092 yrs)
Last Updated
Mar 2, 2022
License
MPA.4324 (SC)

Practice Information

Address
3440 DECLARATION BLVD
SUMTER, SC, 291548139
Browse SC providers · Browse ZIP 29154
Phone
8039053278
Fax
8039053282
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SUMTER, SC

Name Credential NPI
MR. LESLIE A BEBEN PA 1417941501
JOHN JAHNKE PA-C 1699765768
MRS. TEMISHA H BUDDEN PA 1053370593
MRS. APRIL T ROGERS PAC 1245280866
MRS. KATHERINE SILLIMAN COFFEY PA 1518904135
MRS. KIMBERLY W REISENAUER P.A. 1023149101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.