Organization
ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN V. HOLT DO (PRESIDENT)
(307) 206-1330
Entity
Organization
Contact information
Practice address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331
Mailing address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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