Healthcare Provider Details

I. General information

NPI: 1801201678
Provider Name (Legal Business Name): ROBIN A HOLMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4047 BARTLETT ST
HOMER AK
99603-7566
US

IV. Provider business mailing address

4047 BARTLETT ST
HOMER AK
99603-7566
US

V. Phone/Fax

Practice location:
  • Phone: 907-206-2730
  • Fax: 833-438-1910
Mailing address:
  • Phone: 907-235-3436
  • Fax: 833-438-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number113124
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: