Keith Holland

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

4576 Issued in SC

Practice address

1217 Edgefield Hwy
Aiken, SC 29801-9423

Phone

(803) 640-1530

NPI assigned

Jul 25, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1770219529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 HEARTWOOD PASS",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039796",
            "telephone_number": "803-640-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 EDGEFIELD HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298019423",
            "telephone_number": "803-640-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blackberry",
            "affiliation": "N",
            "endpointDescription": "Medical records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical records",
            "address_1": "1217 Edgefield Hwy",
            "city": "Aiken",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298019423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce Allen Holdorf, DMD
• Douglas E Holford, MD
• Holistic Home Health Care
• Ashley Renee Holland, OTR/L
• Kara Mackenzie Holland
• Thomas Delleney Holley, RPH
• Vertis L Holley Sr.
• Charmaine Josey Holliday
• Tamara Holliday
• Jessa Michelle Hollingsworth, DNP, PMHNP

• Prosthetics Case Management in Aiken, SC
• Providers in Aiken, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.