Anthony Holshouser

NPI 1194505685 · on the registry since 2023

Practice

Address: 9219 N Lindbergh Dr
Peoria, IL 61615
Phone: (309) 692-0473
Organisation at this address: Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Also registered as: 1835P0018X
1835P0018X
1835P0018X
Licence states on file: ID, MO, IN, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois