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Individual

DR. DONALD LEE HOLTZCLAW

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1077 E LEXINGTON AVE, DANVILLE, KY 40422-1766
(859) 236-3142
(859) 236-3142
Mailing address
2625 LEXINGTON RD, DANVILLE, KY 40422-9797
(859) 236-1927

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00121
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80001217
KY
Enumeration date
08/16/2005
Last updated
07/08/2007
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