KELLY MOULTRIE NPI 1033531900

NPI Information

NPI: 1033531900
Provider Name: KELLY MOULTRIE
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1850 PINEVIEW DR
COLUMBIA, SC
ZIP 29209
Phone: (803) 783-0303
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Kelly Moultrie is a professional counselor in Columbia, SC. Kelly Moultrie NPI is 1033531900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1850 PINEVIEW DR
COLUMBIA, SC
ZIP 29209-085
Phone: (803) 783-0303
Fax: (803) 783-0955

The enumeration date for this NPI number is 1/13/2014 and was last updated on 1/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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