IndividualActive
Ken Holt, D.O.
NPI 1104894047 · Obstetrics & Gynecology Physician · Lander, WY
Provider details
- NPI number
- 1104894047
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2005020340 (MO)
Practice location
125 Wyoming St
Lander, WY 82520-3919
Phone: (307) 206-1330
Fax: (307) 206-1331
Mailing address
125 Wyoming St
Lander, WY 82520-3919
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2023-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.