Keith G Holley
Adult Reconstructive Orthopaedic Surgeon
4424 E Flamingo Ave Suite 110
Nampa
, Idaho 83687
Keith G Holley
Adult Reconstructive Orthopaedic Surgeon
4424 E Flamingo Ave Suite 110
Nampa
, Idaho 83687
(208) 367-5180
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Keith G Holley
- 3340 E Goldstone Way
- Meridian, ID
- Zip : 83642-1026
- Fax : (208) 367-5180
- Phone : (208) 367-5170
Second Address
- Keith G Holley
- 4424 E Flamingo Ave Suite 110
- Nampa, ID
- Zip : 83687
- Fax : (208) 288-4720
- Phone : (208) 288-4700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M-11367 | ID |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD00045579 | WA |
National Provider Identifier
| NPI | 1386616183 |
|---|---|
| Provider Name | Keith G Holley |
| First Address | Meridian, ID 83642-1026 |
| Second Address | Nampa, ID 83687 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 22/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1386616183 | (05) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.