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Contact Information

OLIVER KEADLE JR, M.S.
1585 JONESVILLE HWY
UNION, SC29379-9790
 Phone: 864-429-3610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OLIVER KEADLE JR · (Male)

NPI # 1538404207
Status Active
Credentials M.S.
Entity Individual
Enumeration date 12/06/2012
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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