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1780640839 NPI number — KENTON R. HOLDEN M.D.

NPI Number: 1780640839
Health Care Provider/Practitioner: KENTON R. HOLDEN M.D.

Information about “1780640839” NPI (KENTON R. HOLDEN M.D.) exists in 1780640839 in HTML format HTML  |  1780640839 in plain Text format TXT  |  1780640839 in PDF (Portable Document Format) PDF  |  1780640839 in an XML format XML  formats.

NPI Number : 1780640839 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780640839",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLDEN",
    "FirstName": "KENTON",
    "MiddleName": "R.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1047",
    "SecondLineMailingAddress": "GREENWOOD GENETIC CENTER-MT. PLEASANT OFFICE",
    "MailingAddressCityName": "MT PLEASANT",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29465-1047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 GREGOR MENDEL CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWOOD",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29646-2316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-941-8100",
    "PracticeLocationAddressFaxNumber": "864-941-8114",
    "EnumerationDate": "04/25/2006",
    "LastUpdateDate": "11/07/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2080P0008X",
        "TaxonomyName": "Pediatric Neurodevelopmental Disabilities Physician",
        "LicenseNumber": "C47743",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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