MEDICARE: DR. HANNAH KELLAM KLOCH DNP, PMHNP-BC, FNP-C

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
1	163WG0000X	General Practice Registered Nurse	240564	SC
2	363LF0000X	Family Nurse Practitioner	24116	SC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	24116	SC

General Provider Information

NPI Number	:	1063037430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH KELLAM KLOCH DNP, PMHNP-BC, FNP-C

Provider Business Mailing Address
First Line	:	1602 HIGHWAY 17 N
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-6015
Country	:	US
Telephone Number	:	843-238-3332
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 HIGHWAY 17 N STE 101
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-6079
Country	:	US
Telephone Number	:	843-604-3012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	05/08/2025

Similar Medicare Providers

1952310021 — MS. MICHELE ANN GALLAGHER LISW-CP-S
Practice Location Address:

1500 HIGHWAY 17 N STE 102
SURFSIDE BEACH, SC
29575-6079

Practice Phone: 910-520-8358
Practice Fax:

1235011479 — MYRTLE MENTAL HEALTH LLC
Practice Location Address:

1500 HIGHWAY 17 N STE 101
SURFSIDE BEACH, SC
29575-6079

Practice Phone: 843-604-3012
Practice Fax: 843-484-6118

1972506822 — MICHAEL PAIGE FOLCK DDS
Practice Location Address:

1385 LASKIN RD
VIRGINIA BEACH, VA
23451-6079

Practice Phone: 757-428-7440
Practice Fax: 757-428-3452

1942285275 — ALLAN CARL SUNDIN DDS
Practice Location Address:

1385 LASKIN RD
VIRGINIA BEACH, VA
23451-6079

Practice Phone: 757-425-1547
Practice Fax: 757-425-6603

1275162661 — KATIE JEAN WOLF RDN
Practice Location Address:

1001 1ST ST
NEPTUNE BEACH, FL
32266-6079

Practice Phone: 727-644-1991
Practice Fax:

1326041237 — DR. JEANNE L. FOURRIER D.D.S.
Practice Location Address:

1947 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

Practice Phone: 843-650-7171
Practice Fax:

Directions to “ DR. HANNAH KELLAM KLOCH DNP, PMHNP-BC, FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.