Individual
KEITH R HOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3033 STATE RD, CUYAHOGA FALLS, OH 44223-3614
(330) 945-4739
(330) 945-7381
Mailing address
PO BOX 609, CUYAHOGA FALLS, OH 44222-0609
(330) 923-6606
(330) 923-8090
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35043324H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419210
—
OH
Enumeration date
06/05/2006
Last updated
05/15/2008
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