DR. HANNAH KELLAM KLOCH (NPI# 1063037430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063037430 |
| Entity Type | Individual |
| Full Name | DR. HANNAH KELLAM KLOCH |
| Credential | DNP |
| Practice Address |
1602 Highway 17 N Surfside Beach SC 29575-6015 |
| Practice Telephone | 8432383332 |
| Mailing Telephone | 8432383332 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
240564 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24116 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1602 HIGHWAY 17 N |
| City | SURFSIDE BEACH |
| State | SC |
| Zip Code | 29575-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609202357 | Miller and Associates Five LLC | Dentist | 1602 Highway 17 N, Surfside Beach, SC 29575-6015 | 2013-09-25 |
| 1316433204 | Kloch Family Dentistry LLC | Clinic/Center | 1602 Highway 17 N, Surfside Beach, SC 29575-6015 | 2018-07-03 |
| 1407269079 | Andrew Stephen Kloch | Dentist | 1602 Highway 17 N, Surfside Beach, SC 29575-6015 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| Find all providers in zip 29575 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679094601 | Jessica Grace Smith Chasse | Nurse Practitioner | 1413 Highway 17 North, Surfside Beach, SC 29575-6012 | 2017-06-29 |
| 1679075352 | Conway Hospital, Inc. | Nurse Practitioner | 1413 Highway 17 N, Surfside Beach, SC 29575-6012 | 2018-03-08 |
| 1801250253 | Tara C Smith | Nurse Practitioner | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2016-04-12 |
| 1144688250 | Lindsey Thomas Budhoo | Nurse Practitioner | 1413 Highway 17 N, Surfside Beach, SC 29575-6012 | 2016-02-03 |
| 1588903397 | Allyson Rae Bender | Nurse Practitioner | 1600 Highway 17 N, Surfside Beach, SC 29575-6015 | 2013-02-14 |
| 1093075269 | Alicia Williams Anderson | Nurse Practitioner | 1945 Glenns Bay Rd, Surfside Beach, SC 29575 | 2012-05-22 |
| 1033239678 | Peggy Yvonne Lively | Nurse Practitioner | 1120 Glenns Bay Rd, Surfside Beach, SC 29575-4757 | 2007-03-29 |
| 1629187711 | Melanie H Porter | Nurse Practitioner | 1413 Highway 17 N, Surfside Beach, SC 29575-6012 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SURFSIDE BEACH |
| Zip Code | 29575 |
Please comment or provide details below to improve the information on DR. HANNAH KELLAM KLOCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.