Most Relevant Information
Provider Data
| NPI Number: | 1003398280 |
| Provider Name: | KELSEY MEREDITH OATES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB380802 |
Most Important Dates
| Enumeration Date: | 09/04/2018 |
| Last Updated: | 09/04/2018 |
Provider Practice Location
10490 JEFFERIES HWY
WALTERBORO
SC
294887770
Practice Location Phone/Fax
| Phone: | 8437090528 |
| Fax: |
Provider Mailing Location
1529 SAM RITTENBERG BLVD
CHARLESTON
SC
294074194
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |