Provider Demographics
NPI:1700686524
Name:SAUNDERS, KELSEY KENNEDY (PA)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:KENNEDY
Last Name:SAUNDERS
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Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:108 S WACCAMAW AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-3313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 MCELHANEY RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-1734
Practice Address - Country:US
Practice Address - Phone:864-834-3192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical