Individual
KEELY FLYNN HUDGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH,RD, LD
Contact information
Practice address
2093 HENRY TECKLENBURG DR STE 202E, CHARLESTON, SC 29414-5783
(843) 958-2590
(843) 402-1972
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1107
—
SC
Enumeration date
10/28/2016
Last updated
02/25/2021
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