Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BANNISTER, RN
Active Sole ProprietorKELLY BANNISTER, RN is a Advance Practice Midwife healthcare provider located in NEWBERRY, South Carolina. NPI 1891179750 is currently active in the NPPES registry. Verify at CMS.
Advance Practice Midwife · NEWBERRY, SC
Registration Details
- NPI Number
- 1891179750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2015 (11.075231775101 yrs)
- Last Updated
- Jul 10, 2015
- License
-
103975 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2111 WILSON RDNEWBERRY, SC, 291081603Browse SC providers · Browse ZIP 29108
- Phone
- 8033212170
- Primary Specialty
-
Advance Practice Midwife
163WA2000X
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.