MEDICARE: KELLI DAWKINS

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	224Z00000X	Occupational Therapy Assistant	2595	SC

General Provider Information

NPI Number	:	1447110903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI DAWKINS

Provider Business Mailing Address
First Line	:	836 DUNHAM ST
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7591
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 DUNHAM ST
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7591
Country	:	US
Telephone Number	:	843-452-3580
Fax Number	:

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

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/19/2025

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Directions to “ KELLI DAWKINS ” Practice Location

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