Individual
DR. RICHARD T HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 E LIBERTY ST, SUITE 202, LOUISVILLE, KY 40202-1530
(502) 585-2300
(502) 584-2726
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 585-2300
(502) 584-2726
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
20867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100333520A
—
IN
01
—
50040686
PASSPORT (JPG)
KY
05
—
64208671
—
KY
Enumeration date
11/23/2005
Last updated
03/17/2014
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