Kelley Banagan, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Charleston, SC. Individual provider (NPI-1).
NPI number1851435408
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1851435408
- Entity type
- Individual (NPI-1)
- Name
- Kelley Banagan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2007
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | MD93962 | SC | Yes |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | D72819 | MD |
Practice location
96 Jonathan Lucas Street Csb 708 Msc 622Charleston, SC 29425-1544
Phone 843-792-8105
Mailing address
Po Box 751461Charlotte, NC 28275-1461
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