Individual
TERRY DON HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 LEGION DR, CENTRAL CITY, KY 42330-1496
(270) 757-0014
(270) 757-0015
Mailing address
PO BOX 111, CENTRAL CITY, KY 42330-0111
(270) 757-0014
(270) 757-0015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44957
KY
207Q00000X
Family Medicine Physician
ME72495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29507
BLUE CROSS PROVIDER #
FL
05
—
7100209090
—
KY
Enumeration date
11/29/2005
Last updated
03/09/2015
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