Individual
DR. BEVERLY A. HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1307 S MAIN ST, ROUTE 3, BOX 25, LOCKWOOD, MO 65682-8327
(417) 232-4560
(417) 232-4611
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8N33
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242929701
—
MO
Enumeration date
11/13/2006
Last updated
10/12/2011
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