Individual
DR. KATIE M KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 340, COLUMBIA, SC 29203-6870
(803) 434-2020
(803) 434-1581
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36967
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369675
—
SC
Enumeration date
04/09/2013
Last updated
06/10/2021
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