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MRS. KATHLEEN M KELLEY PNP
NPI 1649388513
Nurse Practitioner in Mt Pleasant, SC

Active since August 29, 2006
1952 LONG GROVE DR, SUITE 202, MT PLEASANT, SC 29464(843) 971-2992(843) 971-2998 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen M Kelley Pnp NPPES

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

MRS. KATHLEEN M KELLEY PNP (NPI 1649388513) is an individual nurse practitioner in Mt Pleasant, South Carolina, licensed in South Carolina (1877) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649388513
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATHLEEN M KELLEYCredential: PNP
Location Address1952 LONG GROVE DR, SUITE 202Mt Pleasant, SC 29464
Mailing Address2051 Charlie Hall BlvdCharleston, SC 29414 · (843) 573-2535 · Fax (843) 573-2534
Phone(843) 971-2992
Fax(843) 971-2998
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateAugust 19, 2013
✔ NPI 1649388513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 1877
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1952 LONG GROVE DR, Mt Pleasant, SC 29464
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Other Identifiers 3

Medicare UPINP91161
Medicare PINP91161SC
MedicaidNP0692SC

Other Providers at the Same Location NPPES 4

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

MRS. COURTNEY LOUISE DUBOSE CPNP-AC
Nurse Practitioner
1952 LONG GROVE DR
MT PLEASANT, SC 29464
Charleston County (843) 971-2992
MRS. KEATON LEIGH MIMS M.S.N.
Nurse Practitioner (Pediatrics)
1952 LONG GROVE DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-2992
DR. CYNTHIA REICH PHARMD
Pharmacist
1952 LONG GROVE DR, SUITE 5
MT PLEASANT, SC 29464
Charleston County (843) 654-4013
COASTAL PEDIATRIC ASSOCIATES, PA
Pediatrics
1952 LONG GROVE DR, SUITE 202
MOUNT PLEASANT, SC 29464
Charleston County (843) 284-4262

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 Kathleen Kelley's NPI number?

The NPI number for Kathleen Kelley is 1649388513. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kathleen Kelley located?

Kathleen Kelley practices at 1952 Long Grove Dr Suite 202, Mt Pleasant, SC 29464. The listed phone number is (843) 971-2992.

What is Kathleen Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Kelley was last updated on August 19, 2013. 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.