IndividualActive
Kelly Dacre
NPI 1114705969 · Psychiatric/Mental Health Registered Nurse · Aiken, SC
Provider details
- NPI number
- 1114705969
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 258436 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
1135 Gregg Hwy Nw
Aiken, SC 29801-6341
Phone: (803) 641-7700
Approximate (ZIP-level) locationGet directions
Mailing address
1135 Gregg Hwy Nw
Aiken, SC 29801-6341
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.