Individual
KEVIN HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1901 CONNECTICUT AVE. S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Mailing address
1901 CONNECTICUT AVE. S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974025200
—
MN
Enumeration date
07/09/2006
Last updated
05/20/2020
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