| Doctor Name: | MRS. KEELIE BREWER |
| NPI Number: | 1750754271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 102511 |
| Business Practice Address: | 21 Star Rd Edgefield, SC - 298244209 |
| Business Phone Number: | 8032756130 |
| Business Fax Number: | |
| Mailing Address: | 21 Star Rd, EDGEFIELD |
| State: | SC |
| Postal Code: | 298244209 |
| Phone Number: | 8032756130 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 102511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |