Holtkamp, Kelly A
Holtkamp, Kelly A is an individual health care provider with primary practice located at 650 S Randall Rd , Algonquin IL 60102-5944. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Holtkamp, Kelly A can be contacted via phone (815) 398-9491.Contact Information
Primary practice address
650 S Randall Rd
Algonquin IL 60102-5944
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036106560 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036106560 | Illinois |
Profile Details
| NPI number | 1386625580 |
|---|---|
| LBN Legal business name | Holtkamp, Kelly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Feb 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386625580 | NPPES |
| Illinois | MEDICAID | 036106560 |
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