# JUDY HOLTMAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609054766
- **Authorized official:** JUDY H HOLTMAN M.D. (OWNER)
- **Authorized official phone:** (502) 583-6647

## Contact information

- **Practice address:** 444 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202-1416
- **Practice address phone:** (502) 583-6647
- **Practice address fax:** (502) 585-4824
- **Mailing address:** DEPT 8093, CAROL STREAM, IL 60122-0001
- **Mailing address phone:** (866) 286-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18578 | KY | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008