Individual
DOROTHY J. HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 COUCH AVE, KIRKWOOD, MO 63122-5536
(573) 636-3483
(573) 636-5315
Mailing address
1445 CHRISTY DR, JEFFERSON CITY, MO 65101-2853
(573) 636-7716
(573) 636-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080214
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919687251
—
MO
01
—
P00389527
RR MEDICARE
MO
Enumeration date
04/10/2006
Last updated
05/02/2008
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