KELLY EADDY RN
NPI 1932525763
Registered Nurse - Community Health in Lake City, SC

Active since March 18, 2014
137 N ACLINE ST, LAKE CITY, SC 29560(843) 394-8822(843) 394-8856 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Eaddy Rn NPPES

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

KELLY EADDY RN (NPI 1932525763) is an individual community health provider in Lake City, South Carolina, licensed in South Carolina (67855) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1932525763
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameKELLY EADDYCredential: RN
Location Address137 N ACLINE STLake City, SC 29560-2107
Mailing Address137 N Acline StLake City, SC 29560-2107 · (843) 394-8822 · Fax (843) 394-8856
Fax(843) 394-8856
Sole ProprietorYes
Enumeration DateMarch 18, 2014
NPI 1932525763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in SC · 67855
137 N ACLINE ST, Lake City, SC 29560

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Women's Health)
137 N ACLINE ST
LAKE CITY, SC 29560
Nurse Practitioner (Family)
137 N ACLINE ST
LAKE CITY, SC 29560
Registered Nurse (Community Health)
137 N ACLINE ST
LAKE CITY, SC 29560
Registered Nurse (Community Health)
137 N ACLINE ST
LAKE CITY, SC 29560
Licensed Practical Nurse
137 N ACLINE ST
LAKE CITY, SC 29560
Licensed Practical Nurse
137 N ACLINE ST
LAKE CITY, SC 29560
Registered Nurse (Administrator)
137 N ACLINE ST
LAKE CITY, SC 29560

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 Kelly Eaddy's NPI number?

The NPI number for Kelly Eaddy is 1932525763. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Kelly Eaddy located?

Kelly Eaddy practices at 137 N Acline St, Lake City, SC 29560. The listed phone number is (843) 394-8822.

What is Kelly Eaddy's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Kelly Eaddy was last updated on March 18, 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.