# KIRK S HOLSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760462089
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 05001328A | IN | — |
| 213E00000X | Podiatrist | 070000768A | IN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 070000768A | IN | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 09/22/2025