Keitha Dewitt Holland
Obstetrician & Gynecologist
2180 Ada Avenue Suite 300
Conway
, Arkansas 72034-7203
Keitha Dewitt Holland
Obstetrician & Gynecologist
2180 Ada Avenue Suite 300
Conway
, Arkansas 72034-7203
(501) 327-6547
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Keitha Dewitt Holland
- 2519 College Ave
- Conway, AR
- Zip : 72034-6135
- Phone : (501) 327-6547
Second Address
- Keitha Dewitt Holland
- 2180 Ada Avenue Suite 300
- Conway, AR
- Zip : 72034-7203
- Fax : (501) 327-3478
- Phone : (501) 327-6547
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | E4528 | AR |
National Provider Identifier
| NPI | 1013988609 |
|---|---|
| Provider Name | Keitha Dewitt Holland |
| First Address | Conway, AR 72034-6135 |
| Second Address | Conway, AR 72034-7203 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2006 |
| Last Update Date | 04/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 157794001 | (05) | AR |
| BH9361510 | DRUG ENFORCEMENT ADMINIST (01) | |
| I41560 | (02) |
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.