Kevin Holthaus, MD

NPI #1003893215 in Jacksonville Beach, Florida

Provider Information

NPI Number: 1003893215
Entity Type: Individual
Name: Kevin Holthaus, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Dec 29, 2005
Last Updated: Nov 21, 2007

Practice Location

Address: 1361 13TH AVE S
Address 2: STE 150
City: Jacksonville Beach
State: Florida
ZIP Code: 32250-3233
Phone: (904) 242-7177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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