KELSEY R GERUGHTY

AGAPE SENIOR PRIMARY CARE INC

Dr KELSEY R GERUGHTY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

AGAPE SENIOR PRIMARY CARE INC

12488 OLD NUMBER SIX HWY
EUTAWVILLE
SC
290489167

Tel: 8004910909

KELSEY R GERUGHTY Information

Npi 1912380296
Pac Id 9830404466
Professional Enrollment Id I20160830003233
Last Name GERUGHTY
First Name KELSEY
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AGAPE SENIOR PRIMARY CARE INC
Group Practice Pac Id 6800994807
Number Of Group Practice Members 86
Line 1 Street Address 12488 OLD NUMBER SIX HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EUTAWVILLE
State SC
Zip Code 290489167
Phone Number 8004910909
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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