Individual
YANCEY R. HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011-0801
(859) 655-8910
(859) 655-8911
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-8910
(859) 655-8911
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01084814A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
35073095
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
37247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000567585
ANTHEM BCBS
—
05
—
2317808
—
OH
05
—
2879621
—
OH
01
—
6293
KY MEDICARE GRP #
KY
05
—
64051261
—
KY
05
—
7100050890
—
KY
01
—
9321441
OH MEDICARE GRP #
OH
Enumeration date
03/10/2006
Last updated
03/11/2021
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