Individual
DR. KENNETH N. HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6729
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
N9875
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
N9875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324850201
—
TX
01
—
324850202
CSHCN
TX
Enumeration date
11/27/2007
Last updated
11/04/2019
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