Individual
KRISTINE A HOLTHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD, SUITE 203, LOUISVILLE, KY 40241-2832
(502) 423-9595
(502) 719-0161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49227
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001031584
ANTHEM - WS
KY
05
—
2013832260
—
IN
01
—
218353
SIHO - WS
KY
01
—
50115089
PASSPORT - WS
KY
05
—
7100263230
—
KY
Enumeration date
03/30/2012
Last updated
06/09/2025
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