NPI 1104894047

Ken V Holt, DO

Practitioner Obstetrics & Gynecology Physician Lander, WY

Practice location

Address: 125 Wyoming St, Lander, WY 82520-3919
Phone: (307) 206-1330
Fax: (307) 206-1331

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 13534A (WY)

Other Obstetrics & Gynecology providers in Wyoming →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 2005020340 (MO)

Registry record

NPI: 1104894047
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2006
Record last updated: 17 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.