Individual
MR. KENNETH MILTON HOLT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20370 POE SHOLES DR, BEND, OR 97703-7938
(541) 318-1377
Mailing address
20370 POE SHOLES DR, BEND, OR 97703-7938
(541) 318-1377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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