Individual
DR. TREVOR J HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3906 S DUPONT SQ, LOUISVILLE, KY 40207-4647
(122) 823-8998
(812) 282-4172
Mailing address
1650 W HARRISON ST, SUITE 466 ATRIUM, CHICAGO, IL 60612-3800
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
01080516A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
51390
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122620051
MEDICARE
IN
05
—
300019580
—
IN
05
—
7100554940
—
KY
01
—
K0018657
MEDICARE
KY
01
—
K265840
MEDICARE
KY
Enumeration date
09/16/2011
Last updated
02/13/2025
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