Kelly Holub
Registered Nurse in Columbia, SC. Individual provider (NPI-1).
NPI number1801686019
StatusActive
Last updated in NPPESMay 25, 2025
Details
- NPI
- 1801686019
- Entity type
- Individual (NPI-1)
- Name
- Kelly Holub
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2025
- Certification date
- May 25, 2025
- Last updated
- May 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 274716 | SC | Yes |
Practice location
5 Richland Medical Park DrColumbia, SC 29203-6863
Phone 803-434-7000
Mailing address
1232 Downer DrCharleston, SC 29412-9307
Phone 704-960-6535
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