Kerry Chandler
Individual provider Active NPI Registered Nurse · Manning, SC
NPI 1134547748 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1134547748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 75035 (SC)
- Practice address
- 110 E Boyce St
Manning, SC 29102-3408 - Phone
- (803) 435-8168
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75035 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carolina Comptroller General | Past | Accepting new patients | |
| State of South Carolina | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 75035 | SC | Yes |
Addresses
Primary practice location
110 E Boyce St
Manning, SC 29102-3408
Mailing address
110 E Boyce St
Manning, SC 29102-3408
Phone (803) 435-8168
Other providers in Manning, SC
- Carolina Family Practice
- Brent D Carraway
- Jamie L Carter
- Rebecca Ann Cartledge
- Susan Edith Caulkins
- Thomas Mark Chappell
- Regis Joel Chauvot
- Claendon School District Two Office of Special Services
- Clarendon Behavioral Health
- Clarendon Cardiology and Internal Medicine LLC
All providers in Manning, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.