DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLI P GAGNE APRN

MEDICARE: KELLI P GAGNE APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4815CT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5008661NC
3363LP0808XPsychiatric/Mental Health Nurse Practitioner20033SC

General Provider Information

NPI Number : 1861775264
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI P GAGNE APRN
Provider Business Mailing Address
First Line : 331 E MAIN ST STE 200
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-5384
Country : US
Telephone Number : 704-438-0687
Fax Number : 844-308-7996
Provider Business Practice Location Address
First Line : 331 E MAIN ST STE 200
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-5384
Country : US
Telephone Number : 704-438-0687
Fax Number : 844-308-7996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/20/2022

Similar Medicare Providers

1114003415 — DR. ALAN J. ANTHONY MD
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 954-399-4673
Practice Fax:
1821260597 — RESOURCEFUL SOLUTIONS 2 LLC
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 704-919-0307
Practice Fax: 704-919-0306
1902042195 — REBECCA MARCOTTE
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 803-517-1183
Practice Fax:
1639485063 — MRS. MEGAN ROSALYN POLLOK BCBA
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 855-832-6727
Practice Fax: 772-675-9100
1689982894 — ANNA ALLEN M.S., BCBA
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 855-832-6727
Practice Fax:
1093086100 — KIMBERLY STROBLE
Practice Location Address:
331 E MAIN ST STE 200
ROCK HILL, SC
29730-5384
Practice Phone: 855-832-6727
Practice Fax: 726-759-1007

Directions to “ KELLI P GAGNE APRN” 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.