NPI 1851435408 · live from the CMS NPI Registry
Kelley Banagan, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Charleston, SC. National Provider Identifier 1851435408, active.
NPI record
| NPI | 1851435408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 96 Jonathan Lucas Street Csb 708 Msc 622, Charleston, SC 29425 |
| Practice phone | 843-792-8105 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | February 16, 2007 |
| Last updated | April 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | D72819 (MD) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | MD93962 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.