1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Nurse Practitioner
  6. NPI Profile

PROF. MARY B KELLY NP
NPI 1114131356
Nurse Practitioner - Adult Health in Myrtle Beach, SC

Active since May 09, 2007
5046 HIGHWAY 17 BYP S, SUITE 202 AND SUITE 203, MYRTLE BEACH, SC 29588(843) 294-1941(843) 294-1945 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Mary B Kelly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. MARY B KELLY NP (NPI 1114131356) is an individual adult health provider in Myrtle Beach, South Carolina, licensed in South Carolina (SC APN1721) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1114131356
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePROF. MARY B KELLYCredential: NP
Location Address5046 HIGHWAY 17 BYP S, SUITE 202 AND SUITE 203Myrtle Beach, SC 29588-4503
Mailing AddressPo Box 4746Pawleys Island, SC 29585-8746 · (843) 294-1941 · Fax (843) 294-1945
Phone(843) 294-1941
Fax(843) 294-1945
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 26, 2014
✔ NPI 1114131356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · SC APN1721
Also ListedNurse PractitionerTaxonomy 363L00000X · License SC APN1721 (SC)
5046 HIGHWAY 17 BYP S, Myrtle Beach, SC 29588
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC
Dermatology (MOHS-Micrographic Surgery)
5046 HIGHWAY 17 BYP S, SUITE 103
MYRTLE BEACH, SC 29588
Horry County (843) 668-4104
STRAND ENDOCRINOLOGY,LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5046 HIGHWAY 17 BYP S, SUITE 104
MYRTLE BEACH, SC 29588
Horry County (843) 293-9955
VERITAS HEALTHCARE SOLUTIONS, LLC
Internal Medicine (Cardiovascular Disease)
5046 HIGHWAY 17 BYP S, SUITE 100
MYRTLE BEACH, SC 29588
Horry County (843) 293-5100
VERITAS EXECUTIVE HEALTHCARE
Internal Medicine
5046 HIGHWAY 17 BYP S, SUITE 100
MYRTLE BEACH, SC 29588
Horry County (843) 293-5100
DR. JOHN R. HICKS II MD
Internal Medicine (Cardiovascular Disease)
5046 HIGHWAY 17 BYP S, SUITE 100
MYRTLE BEACH, SC 29588
Horry County (843) 293-5100
AMANDA BETH BELESKY PA-C
Physician Assistant (Medical)
5046 HIGHWAY 17 BYP S, SUITE 100
MYRTLE BEACH, SC 29588
Horry County (843) 293-5100
GRAND STRAND SENIOR HEALTH CENTER, LLC
Internal Medicine
5046 HIGHWAY 17 BYP S, SUITE 100
MYRTLE BEACH, SC 29588
Horry County (843) 839-6192
TAYLOR J ROWE PT
Physical Therapist
5046 HIGHWAY 17 BYP S, UNIT 201
MYRTLE BEACH, SC 29588
Horry County (843) 668-4331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1114131356. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Mary Kelly located?

Mary Kelly practices at 5046 Highway 17 Byp S Suite 202 And Suite 203, Myrtle Beach, SC 29588. The listed phone number is (843) 294-1941.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.