Individual
KELLY HOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
1232 DOWNER DR, CHARLESTON, SC 29412-9307
(704) 960-6535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
274716
SC
Other
Enumeration date
05/09/2025
Last updated
05/25/2025
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