Individual
ASHLEE KAYE HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 JOHN DEERE RD STE 200, MOLINE, IL 61265-6812
(309) 779-4200
(309) 779-4305
Mailing address
600 JOHN DEERE RD STE 200, MOLINE, IL 61265-6812
(309) 779-4200
(309) 779-4305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036141459
IL
207R00000X
Internal Medicine Physician
4410
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036141459
BLUE SHIELD OF ILLINOIS
IL
05
—
036141459
—
IL
05
—
1679892707
—
IA
05
—
1679892707
—
MN
Enumeration date
05/28/2010
Last updated
09/30/2016
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