Individual
KYLIE MARIE HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 498-2311
Mailing address
111A LIBERTY WAY, FORT LORAMIE, OH 45845-9453
(260) 706-1984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009595RX
OH
Other
Enumeration date
07/21/2025
Last updated
03/04/2026
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