JUDY HOLTMAN NPI 1609054766

NPI Information

  • NPI: 1609054766
  • Provider Name: JUDY HOLTMAN
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 444 S 1ST ST
    SUITE 100
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 583-6647

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NPI Details

JUDY HOLTMAN is a medical specialty clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JUDY HOLTMAN NPI is 1609054766. The provider is registered as an organization entity type.

The provider's business location address is:

444 S 1ST ST
SUITE 100
LOUISVILLE, KY
ZIP 40202-416
Phone: (502) 583-6647
Fax: (502) 585-4824

The provider's authorized official is Judy H Holtman .
The authorized official title is Owner and has the following contact phone number (502) 583-6647.

The enumeration date for this NPI number is 1/31/2008 and was last updated on 1/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty18578KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C72385MEDICARE UPINKENTUCKY
21567601MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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