Holton, Kevin

Holton, Kevin is an individual health care provider with primary practice located at 1901 Connecticut Ave. S , Sartell MN 56377. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holton, Kevin can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave. S Sartell MN 56377
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 462 Minnesota

Profile Details

NPI number 1558394841
LBN Legal business name Holton, Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated May 20th, 2020 - about 5 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 1558394841 NPPES
Minnesota MEDICAID 974025200

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