Organization
SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M HOLLAND DPM (OWNER)
(270) 846-1900
Entity
Organization
Contact information
Practice address
843 FAIRVEW AVENUE, SUITE B5, BOWLING GREEN, KY 42101-4914
(270) 846-1900
(270) 846-2919
Mailing address
PO BOX 1596, BOWLING GREEN, KY 42102-1596
(270) 846-1900
(270) 846-2919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
234
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90013897
KY HEALTH CHOICES- DME
KY
Enumeration date
07/02/2008
Last updated
11/05/2008
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