# DR. ROBERT EDWARD HOLT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588688212
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 04-17247 | KS | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001019 | BLUECROSS BLUESHIELD KS | KS |
| 05 | — | 100209700AH | — | KS |