Hollis, Kevin G

Hollis, Kevin G is an individual health care provider with primary practice located at 2109 Green Valley Rd , New Albany IN 47150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Hollis, Kevin G can be contacted via phone (812) 948-2232.

Contact Information

Primary practice address
2109 Green Valley Rd New Albany IN 47150
Phone: (812) 948-2232
Fax: (812) 945-0869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01025370A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 21596 Kentucky

Profile Details

NPI number 1598790776
LBN Legal business name Hollis, Kevin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 25th, 2011 - about 15 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 1598790776 NPPES
Indiana MEDICAID 100115560A
Indiana MEDICAID 64756331

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