Gary Allen Holst in Lenexa - Nutrition Support

Gary Allen Holst - NPI 1336352640

Gary Allen Holst is a Nutrition Support in Lenexa, Kansas. Gary Allen Holst practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Gary Allen Holst is 1336352640. The last update date is 2007-07-08.

Gary Allen Holst's current location address is 11131 W 79th St, Lenexa, Kansas. You can contact this provider via phone number 9132344664 and fax number 9132344661. The mailing address for Gary Allen Holst is 11131 W 79th St, Lenexa, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Allen Holst
Address 11131 W 79th St, Lenexa, Kansas
Phone Number 9132344664
Fax Number 9132344661
Sole Proprietor Y
Credentials R.PH.

NPI Number Detail

NPI Number 1336352640
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11131 W 79th St
City Lenexa
State Kansas (KS)
Post Code 662141482
Phone Number 9132344664
Fax Number 9132344661

Provider's Primary Taxonomy Detail

Speciality Nutrition Support
Taxonomy 1835N1003X
Licence No 10795
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

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FAQs about Gary Allen Holst

What is the unique provider identifier assigned to Gary Allen Holst?

The Gary Allen Holst has been issued the NPI (National Provider Identifier) 1336352640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Gary Allen Holst is physically located?

The Gary Allen Holst is physically situated at the following address: 11131 W 79Th St, Lenexa, KS, 662141482.

What is Gary Allen Holst's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary Allen Holst's specialized field of practice is Nutrition Support, and the corresponding taxonomy code that categorizes this area of specialization is 1835N1003X.

On what date did the Gary Allen Holst receive its 1336352640 assignment from the Centers for Medicare & Medicaid Services?

The Gary Allen Holst was assigned its 1336352640 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date were the details related to Gary Allen Holst most recently updated or revised?

The information pertaining to Gary Allen Holst, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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