Individual
KURT STEVEN HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2806 RIVERVIEW DR, GREEN BAY, WI 54313-6717
(920) 498-7546
(920) 569-4129
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
739023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42947700
—
WI
01
—
7390-023
STATE LICENSE
WI
Enumeration date
06/27/2006
Last updated
05/14/2025
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