| Doctor Name: | MRS. KELLY LYNN WARNOCK |
| NPI Number: | 1578850947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F4476 |
| Business Practice Address: | 40 Baldwin Ave Lugoff, SC - 290789406 |
| Business Phone Number: | 8034083262 |
| Business Fax Number: | 8044088895 |
| Mailing Address: | 645 S Seventh St, MC BEE |
| State: | SC |
| Postal Code: | 291017101 |
| Phone Number: | 8433358291 |
| Fax Number: | 8433358731 |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F4476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |