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Individual

EMILY JEAN BAUER HOLTHUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10550 QUIVIRA RD, SUITE 410, OVERLAND PARK, KS 66215-2306
(913) 541-0990
(913) 541-1452
Mailing address
10550 QUIVIRA RD, SUITE 410, OVERLAND PARK, KS 66215-2306
(913) 541-0990
(913) 541-1452

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
04-34655
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
04-34655
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200743380A
KS
01
A22000006
MEDICARE
KS
Enumeration date
05/26/2008
Last updated
05/24/2012
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