Individual
DR. PETER P O'KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1523 HERITAGE LN, FLORENCE, SC 29505-3197
(843) 673-9992
(843) 673-9996
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T65792
—
SC
Enumeration date
11/09/2006
Last updated
04/19/2024
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