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

Mrs. Kelly Williams Rydell, FNP

Individual provider Family Nurse Practitioner · NPI 1962123265

Mrs. Kelly Williams Rydell, FNP is a Nurse Practitioner in Fort Mill, South Carolina. Qualified in 2022, 4 years ago. Practices with Minuteclinic Diagnostic South Carolina LLC, a 110-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, North Carolina, South Carolina and Virginia.

Years since qualifying
4
Licensed in
CA, NC, SC, VA
In the registry since
2022
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1740 Highway 160 W
Fort Mill, SC 29708-8025
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2340 Spring Forest Rd, Raleigh, NC 27615-7528 — (877) 389-2727
  • 19305 Ruby Dr, Leesburg, VA 20176-6508 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27403 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5016854 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024191517 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95021706 (CA)

Record details

NPI number1962123265
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minuteclinic Diagnostic South Carolina Llc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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