Individual provider · NPI-1

Dr. Kellie Anne Amodeo, M.D.

Surgery · Charleston, SC

NPI number1538515804
StatusActive
Last updated in NPPESSep 29, 2022

Details

NPI
1538515804
Entity type
Individual (NPI-1)
Name
Dr. Kellie Anne Amodeo
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2016
Certification date
Sep 29, 2022
Last updated
Sep 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery86257SCYes
2086S0102X Surgery, Surgical Critical Care86257SC
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Kellie Anne Helin (Former Name)

Practice location

9291 Medical Plaza Dr
Charleston, SC 29406-9126

Phone 843-764-1730 · Fax 843-764-1731

Mailing address

9291 Medical Plaza Dr
Charleston, SC 29406-9126

Phone 843-764-1730 · Fax 843-764-1731

Other practice locations

3200 Maccorkle Ave Se
Camc Memorial Hospital, 4th Floor
Charleston, WV 25304

Phone 304-388-5590 · Fax 304-388-8238

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