person
Kevin Holthaus, MD
Specialist in Jacksonville Beach, Florida
NPI 1003893215

Kevin Holthaus is a Specialist based in Jacksonville, FL. Kevin Holthaus practices in Jacksonville Beach, FL and has the professional credentials of MD. The NPI Number for Kevin Holthaus is 1003893215 and holds a License No. ME43785 (Florida).

The current practice location address for Kevin Holthaus is 1361 13Th Ave S, Jacksonville Beach, FL and can be reached out via phone at 904-242-7177 and via fax at 904-242-7133.

Location: 1361 13Th Ave S, Jacksonville Beach, FL, 32245-7809
person
Provider Profile Details
NPI Number
1003893215
Provider Name
Kevin Holthaus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1361 13Th Ave S, Jacksonville Beach, FL, 32245-7809
Phone Number
904-242-7177
Fax Number
904-242-7133
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15832 01 FL BCBS
110241847 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1361 13Th Ave S
City
State
Zip
32250-3233
Phone Number
904-242-7177
Fax Number
904-242-7133
person
Provider Business Mailing Address Details
Address
1361 13Th Ave S
City
State
Zip
32250-3233
Phone Number
904-242-7177
Fax Number
904-242-7133
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME43785 (Florida)
Definition
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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