Holland, Keitha Dewitt
Holland, Keitha Dewitt is an individual health care provider with primary practice located at 2180 Ada Avenue Suite 300, Conway AR 72034-7203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Holland, Keitha Dewitt can be contacted via phone (501) 327-6547.Contact Information
Primary practice address
2180 Ada Avenue Suite 300
Conway AR 72034-7203
Phone: (501) 327-6547
Fax: (501) 327-3478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E4528 | Arkansas |
Profile Details
| NPI number | 1013988609 |
|---|---|
| LBN Legal business name | Holland, Keitha Dewitt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013988609 | NPPES |
| Arkansas | MEDICAID | 157794001 |
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