| Doctor Name: | SHANNON L HOLT |
| NPI Number: | 1033153085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 37416 |
| Business Practice Address: | 1115 Woodland Dr Elizabethtown, KY - 427012749 |
| Business Phone Number: | 2707695963 |
| Business Fax Number: | 2707699051 |
| Mailing Address: | 1115 Woodland Dr, ELIZABETHTOWN |
| State: | KY |
| Postal Code: | 427012749 |
| Phone Number: | 2707695963 |
| Fax Number: | 2707699051 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 37416 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |