Individual provider · Type 1 NPI

Keith G. Holley, MD

Adult Reconstructive Orthopaedic Surgery Physician · Nampa, ID

NPI number 1386616183 Active

Practice location

4424 E Flamingo Ave, Suite 110
Nampa, ID 83687

Call (208) 288-4700 Map

Fax (208) 288-4720

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114XMD00045579 (WA)
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XM-11367 (ID)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

14 other providers at this address

About NPI 1386616183

Keith G. Holley, MD's National Provider Identifier is 1386616183, issued on Feb 6, 2006. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Nampa, ID. The record was last updated on Oct 22, 2014.