Individual
KEVIN G HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Mailing address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01025370A
IN
207RI0011X
Interventional Cardiology Physician
21596
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115560A
—
IN
05
—
64756331
—
KY
Enumeration date
07/12/2006
Last updated
08/25/2011
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