Individual
DR. KENTON R. HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
(864) 941-8114
Mailing address
PO BOX 1047, GREENWOOD GENETIC CENTER-MT. PLEASANT OFFICE, MT PLEASANT, SC 29465-1047
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
C47743
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148165
—
SC
Enumeration date
04/25/2006
Last updated
11/07/2007
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