Oliver, Keshia Elaine

Oliver, Keshia Elaine is an individual health care provider with primary practice located at 4100 N Main St Ste 202 , Columbia SC 29203-5800. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Oliver, Keshia Elaine can be contacted via phone (803) 828-3603.

Contact Information

Primary practice address
4100 N Main St Ste 202 Columbia SC 29203-5800
Fax: (803) 828-3603
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 581 South Carolina

Profile Details

NPI number 1770783862
LBN Legal business name Oliver, Keshia Elaine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 26th, 2020 - 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 1770783862 NPPES
South Carolina Other 581 LICENSE NUMBER

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