NPI | 1104894047 |
---|---|
Other Name | KENNY V HOLT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 13534A) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2005020340) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2023-05-17 |