Ms Kellie P Vernon, LMBT SC#4771 is a
Massage Therapist based in Marietta, South Carolina. Ms Kellie P Vernon is licensed to practice in South Carolina (license number 4771) and her current practice location is
275 Wildazalea Lane, Marietta, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 270-0205.
NPI number for Ms Kellie P Vernon is 1821363094 and her current mailing address is P.o. Box 959, Marietta, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821363094.
Healthcare Provider's Profile
| Full Name | Ms Kellie P Vernon |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 275 Wildazalea Lane, Marietta, 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: 1821363094
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 03/20/2012
Medical Identifiers
Medical identifiers for Ms Kellie P Vernon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821363094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 4771 (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. Ms Kellie P Vernon 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 |
|---|
Ms Kellie P Vernon, LMBT SC#4771
P.o. Box 959,
Marietta, SC 29661
Ph: () - | Ms Kellie P Vernon, LMBT SC#4771
275 Wildazalea Lane,
Marietta, SC 29661
Ph: (864) 270-0205 |
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