IndividualActive
Keith Holley, MD
NPI 1386616183 · Adult Reconstructive Orthopaedic Surgery Physician · Nampa, ID
Provider details
- NPI number
- 1386616183
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00045579 (WA)
Practice location
4424 E Flamingo Ave
Suite 110
Nampa, ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.