Individual
KEITH B HOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 383-3402
(937) 383-0610
Mailing address
825 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 383-3402
(937) 383-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.047577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0528889
—
OH
Enumeration date
12/16/2005
Last updated
03/10/2008
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