Organization
ISLAND LIFE AESTHETICS AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES HOLTMANN APRN (OWNER/PROVIDER)
(859) 992-6700
Entity
Organization
Contact information
Practice address
102 N MAIN ST, CRITTENDEN, KY 41030-8488
(859) 379-2232
Mailing address
515 FLAT CREEK RD, DRY RIDGE, KY 41035-7968
(859) 992-6700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659777985
INDIVIDUAL NPI
KY
Enumeration date
06/19/2025
Last updated
06/19/2025
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