Individual
MR. KEITHAN HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
(303) 353-2280
Mailing address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
(303) 353-9822
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
921047101
CO
174H00000X
Health Educator
147827
CO
376K00000X
Nurse's Aide
Primary
NA00720741
CO
Other
Enumeration date
03/04/2021
Last updated
04/30/2024
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