Individual
DR. KEN V HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331
Mailing address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13534A
WY
207V00000X
Obstetrics & Gynecology Physician
2005020340
MO
Other
Enumeration date
03/08/2006
Last updated
05/17/2023
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