Healthcare Provider Details

I. General information

NPI: 1770152027
Provider Name (Legal Business Name): KINDRA K HOLSING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8207 NORTHWOODS DR STE 100
LINCOLN NE
68505-2093
US

IV. Provider business mailing address

8207 NORTHWOODS DR STE 100
LINCOLN NE
68505-2093
US

V. Phone/Fax

Practice location:
  • Phone: 402-484-3440
  • Fax: 402-484-3441
Mailing address:
  • Phone: 402-484-3440
  • Fax: 402-484-3441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number37508
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR-12272
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: