Kevin D Holder in South Orange - Family Medicine
Kevin D Holder - NPI 1063543254
Kevin D Holder is a Family Medicine in South Orange, New Jersey. Kevin D Holder practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin D Holder is 1063543254. The last update date is 2013-03-28.
Kevin D Holder's current location address is 5 Stanley Rd, South Orange, New Jersey. You can contact this provider via phone number 9737626077 and fax number 9737624331. The mailing address for Kevin D Holder is 5 Stanley Rd, South Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin D Holder |
|---|---|
| Address | 5 Stanley Rd, South Orange, New Jersey |
| Phone Number | 9737626077 |
| Fax Number | 9737624331 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063543254 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-03-28 |
Provider Mailing Address Detail
| Address | 5 Stanley Rd |
|---|---|
| City | South Orange |
| State | New Jersey (NJ) |
| Post Code | 70792721 |
| Phone Number | 9737626077 |
| Fax Number | 9737624331 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25MA04662500 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20614591 | NJ | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin D Holder by the Centers for Medicare & Medicaid Services?
The Kevin D Holder has been assigned the NPI (National Provider Identifier) 1063543254 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin D Holder located?
The Kevin D Holder is located at 5 Stanley Rd, South Orange, NJ 70792721.
What is Kevin D Holder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin D Holder is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Kevin D Holder receive its 1063543254 assignment from the Centers for Medicare & Medicaid Services?
The Kevin D Holder was assigned its 1063543254 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding Kevin D Holder most recently updated?
The details pertaining to the Kevin D Holder, including its address, specialty, and other relevant information, were last refreshed on 2013-03-28.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA