Individual
KENNEDY GOODE HOLCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24894
SC
363LF0000X
Family Nurse Practitioner
Primary
24894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8512
—
SC
Enumeration date
04/16/2021
Last updated
01/14/2025
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