Healthcare Provider Details

I. General information

NPI: 1114946456
Provider Name (Legal Business Name): RACHEL M. HOLT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL M. MCINTOSH M.D.

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SCHWEGLER DR
LAWRENCE KS
66045-7558
US

IV. Provider business mailing address

1200 SCHWEGLER DR
LAWRENCE KS
66045-7558
US

V. Phone/Fax

Practice location:
  • Phone: 785-864-9500
  • Fax:
Mailing address:
  • Phone: 785-864-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2003000630
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-37022
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: