Individual
DR. JUDY H. HOLTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202-1416
(502) 583-6647
(502) 585-4824
Mailing address
DEPT 8093, CAROL STREAM, IL 60122-8093
(866) 286-9915
(502) 471-2051
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053352
ANTHEM PIN
KY
01
—
070006422
RAILROAD MEDICARE
KY
Enumeration date
09/20/2005
Last updated
07/08/2007
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