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Individual

DR. JEFFREY KENT HOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11274 MCCOMBS ST, EL PASO, TX 79934-3455
(915) 242-2400
(915) 822-2160
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34232
OK
207P00000X
Emergency Medicine Physician
39160
CO
207P00000X
Emergency Medicine Physician
Primary
MD60193724
WA
207P00000X
Emergency Medicine Physician
P6639
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
76125742
CO
Enumeration date
05/08/2006
Last updated
12/01/2021
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