Dr Kelly L Rose, M D is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Newberry, South Carolina. Dr Kelly L Rose is licensed to practice in South Carolina (license number MD28173) and her current practice location is 2541 Evans St Ste 200, Newberry, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 276-0201.
NPI number for Dr Kelly L Rose is 1700955184 and her current mailing address is 2541 Evans St Ste 200, Newberry, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700955184.
Physician's Profile
| Full Name | Dr Kelly L Rose |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 2541 Evans St Ste 200, Newberry, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700955184
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/27/2021
Medical Identifiers
Medical identifiers for Dr Kelly L Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700955184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZF0201X | Pathology - Forensic Pathology | 003241 (Georgia) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 003241 (Georgia) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD28173 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly L Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly L Rose, M D
2541 Evans St Ste 200,
Newberry, SC 29108-2963
Ph: (803) 924-7185 | Dr Kelly L Rose, M D
2541 Evans St Ste 200,
Newberry, SC 29108-2963
Ph: (803) 276-0201 |
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