Individual
DR. KEVIN H HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-6443
(601) 736-2543
Mailing address
104 PARTNERSHIP WAY, COLUMBIA, MS 39429-4502
(601) 736-6443
(601) 736-4641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15453
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118863
—
MS
Enumeration date
10/05/2005
Last updated
12/12/2016
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