Holston, Kirk S
Holston, Kirk S is an individual health care provider with primary practice located at 6002 E 38Th St , Indianapolis IN 46226-5614. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Holston, Kirk S can be contacted via phone (317) 880-6002.Contact Information
Primary practice address
6002 E 38Th St
Indianapolis IN 46226-5614
Phone: (317) 880-6002
Fax: (317) 880-0417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 05001328A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 070000768A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 070000768A | Indiana |
Profile Details
| NPI number | 1760462089 |
|---|---|
| LBN Legal business name | Holston, Kirk S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Sep 22nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760462089 | NPPES |
| Indiana | MEDICAID | 100121880 | |
| Indiana | Other | 0005497063 | |
| Indiana | Other | 000000364510 | |
| Indiana | Other | P00284245 | |
| Indiana | MEDICAID | 100121880A | |
| Indiana | Other | 202158547 |
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