Individual
DAVID M HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2355 POPLAR LEVEL RD, STE. 200-A, LOUISVILLE, KY 40217-1395
(502) 636-7444
(502) 636-7340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16256
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350759
ANTHEM / NCMA
KY
01
—
0000284121
HUMANA / NCMA
KY
01
—
047927
SIHO ./ NCMA
KY
05
—
200510840
—
IN
01
—
2446878000
PASSPORT ADVANTAGE / NCMA
KY
01
—
2542519
CIGNA / NCMA
KY
01
—
50005575
PASSPORT / NCMA
KY
05
—
64162563
—
KY
01
—
P00181534
RAILROAD MEDICARE
KY
Enumeration date
04/21/2006
Last updated
07/12/2016
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