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Contact Information

KIMBERLY J CALNAN HOLT, OD
16818 E DESMET CT
SPOKANE VALLEY, WA99216-3542
 Phone: 509-456-5380
 Fax: 509-456-5381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KIMBERLY J CALNAN HOLT · (Female)

NPI Number 1790881514
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/16/2006
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # ODP-100200
  • MT License # OPT-OPT-LIC-579
  • WA License # 3437
  • WA License # OD00003437
  • ID Medicaid 80810904
  • MT Medicaid 1790881514
  • WA Medicaid 1019169
  • ID Other 1594513 MEDICARE ID
  • MT Other M011000850 MEDICARE MT
  • WA Other 0135439 L & I
  • WA Other G8889165 MEDICARE WA
  • WA Other G8889166 MEDICARE WA
  • WA Other G8889167 MEDICARE WA
  • WA Other G8889168 MEDICARE WA
  • WA Other G8889169 MEDICARE WA
  • WA Other 410045546 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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