| Kds Consultants, LLC | |
|
1025 W Meeting St Ste 200 Lancaster SC 29720-2246 | |
| (803) 285-1082 | |
| (803) 283-4329 |
| Full Name | Kds Consultants, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 W Meeting St Ste 200, Lancaster, South Carolina |
| Authorized Official Name and Position | Keith D Shealy (PRESIDENT) |
| Authorized Official Contact | 8032851082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kds Consultants, LLC 1025 W Meeting St Ste 200 Lancaster SC 29720-2246 Ph: (803) 285-1082 | Kds Consultants, LLC 1025 W Meeting St Ste 200 Lancaster SC 29720-2246 Ph: (803) 285-1082 |
| NPI Number | 1366940959 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Medicare PECOS PAC ID | 8426313123 |
|---|---|
| Medicare Enrollment ID | O20180530001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366940959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10924 (South Carolina) | Primary |
| Provider Name | Keith D Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557153 PECOS PAC ID: 9739098864 Enrollment ID: I20100204000876 |
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