Keck, Katie M

Keck, Katie M is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 340 , Columbia SC 29203-6870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Keck, Katie M can be contacted via phone (803) 434-2020.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 340 Columbia SC 29203-6870
Phone: (803) 434-2020
Fax: (803) 434-1581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36967 South Carolina

Profile Details

NPI number 1922441906
LBN Legal business name Keck, Katie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Jun 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922441906 NPPES
South Carolina MEDICAID 369675

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