Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kel Z Gaskin Prock, MSR, OTRL

Individual provider Pediatric Occupational Therapist · NPI 1003034331

Kel Z Gaskin Prock, MSR, OTRL is a Pediatric Occupational Therapist in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3603 Kingsley Dr
Myrtle Beach, SC 29588-7713
Phone: (843) 424-5450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2713 (SC)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 2713 (SC)

Record details

NPI number1003034331
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSR , OTRL
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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