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NPI Code Detail

MEDICARE: KELSEY LOMBARDI

MEDICARE: KELSEY LOMBARDI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistSC

General Provider Information

NPI Number : 1497413058
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY LOMBARDI
Provider Business Mailing Address
First Line : 8109 SARDIS CT
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9431
Country : US
Telephone Number : 843-822-6766
Fax Number :
Provider Business Practice Location Address
First Line : 8109 SARDIS CT
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9431
Country : US
Telephone Number : 843-822-6766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2021

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Directions to “ KELSEY LOMBARDI ” Practice Location

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