Holston, Kirk S

Holston, Kirk S is an individual health care provider with primary practice located at 3850 Shore Dr Suite 301, Indianapolis IN 46254-5621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Holston, Kirk S can be contacted via phone (317) 297-3338.

Contact Information

Primary practice address
3850 Shore Dr Suite 301 Indianapolis IN 46254-5621
Phone: (317) 297-3338
Fax: (317) 297-9997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 05001328A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 070000768A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 070000768A Indiana

Profile Details

NPI number 1760462089
LBN Legal business name Holston, Kirk S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 23rd, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760462089 NPPES
Indiana Other 0005497063 AETNA
Indiana Other 000000364510 AETNA
Indiana MEDICAID 100121880 AETNA
Indiana Other P00284245 AETNA
Indiana MEDICAID 100121880A AETNA
Indiana Other 202158547 AETNA

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