Organization
CLIFFORD L. HOLT, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE S HOLT (OFFICE MANAGER)
(913) 631-6959
Entity
Organization
Contact information
Practice address
6435 NIEMAN RD, SHAWNEE, KS 66203-3325
(913) 631-6959
(931) 631-5930
Mailing address
6435 NIEMAN RD, SHAWNEE, KS 66203-3325
(913) 631-6959
(931) 631-5930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS12613
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218370A
—
KS
Enumeration date
03/04/2008
Last updated
04/27/2012
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