Individual provider · Type 1 NPI

Kevin Holthaus, MD

Specialist · Jacksonville Beach, FL

NPI number 1003893215 Active

Practice location

1361 13th Ave S, Ste 150
Jacksonville Beach, FL 32250-3233

Fax (904) 242-7133

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME43785 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003893215

Kevin Holthaus, MD's National Provider Identifier is 1003893215, issued on Dec 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Nov 21, 2007.