Individual
KYLE DEAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NORTHBAY MEDICAL CENTER - FAIRFIELD, 1200 B GALE WILSON BLVD, FAIRFEILD, CA 94533
(707) 429-3600
Mailing address
2613 CARAVAGGIO PL, DAVIS, CA 95616-7659
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G77374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G773741
—
CA
Enumeration date
06/27/2006
Last updated
07/08/2007
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