Holden, Kenton R.

Holden, Kenton R. is an individual health care provider with primary practice located at 101 Gregor Mendel Cir , Greenwood SC 29646-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Holden, Kenton R. can be contacted via phone (864) 941-8100.

Contact Information

Primary practice address
101 Gregor Mendel Cir Greenwood SC 29646-2316
Fax: (864) 941-8114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X C47743 South Carolina

Profile Details

NPI number 1780640839
LBN Legal business name Holden, Kenton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 7th, 2007 - about 17 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 1780640839 NPPES
South Carolina MEDICAID 148165

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