| Doctor Name: | SUSAN J HOLTKAMP |
| NPI Number: | 1508820473 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | C134848 |
| Business Practice Address: | 400 N 17th St Keokuk, IA - 526323452 |
| Business Phone Number: | 3197685858 |
| Business Fax Number: | 3197532301 |
| Mailing Address: | 1425 Morgan St, KEOKUK |
| State: | IA |
| Postal Code: | 526324000 |
| Phone Number: | 3197685858 |
| Fax Number: | 3197532301 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | C134848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |