Individual
KODY KEITH HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
223 S. 200 E, ENTERPRISE, UT 84725
(435) 878-2281
Mailing address
PO BOX 758, ENTERPRISE, UT 84725-0758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9809369-4408
UT
Other
Enumeration date
12/21/2020
Last updated
10/30/2025
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