Organization
KDS CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D SHEALY MD (PRESIDENT)
(803) 285-1082
Entity
Organization
Contact information
Practice address
1025 W MEETING ST STE 200, LANCASTER, SC 29720-2246
(803) 285-1082
(803) 283-4329
Mailing address
1025 W MEETING ST STE 200, LANCASTER, SC 29720-2246
(803) 285-1082
(803) 283-4329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10924
SC
207Q00000X
Family Medicine Physician
15011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109242
—
SC
05
—
TL3972
—
SC
Enumeration date
01/29/2018
Last updated
03/04/2026
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