Whalio Doctors

NPI 1154576080

Lincoln a Holdaway, MD

Practitioner General Practice Physician Fort Campbell, KY

Practice location

Address
7149 Black Sheep Run Rd, Fort Campbell, KY 42223
Phone
(706) 414-8361

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01067398A (IN)

Registry record

NPI
1154576080
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Nov 2008
Record last updated
29 Aug 2011

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.