Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ken V Holt, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1104894047

Dr. Ken V Holt, DO is an Obstetrics/Gynecology in Lander, Wyoming. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2000, 26 years ago. Practices with Memorial Hospital of Sweetwater County, a 72-clinician group and accepts Medicare assignment. Licensed in Missouri and Wyoming.

Years since qualifying
26
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MO, WY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

125 Wyoming St
Lander, WY 82520-3919
Phone: (307) 206-1330
Fax: (307) 206-1331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 13534A (WY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2005020340 (MO)

Record details

NPI number1104894047
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 8, 2006
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address125 Wyoming St, Lander, WY 82520-3919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2000 (26 years in practice)
Group practice Memorial Hospital Of Sweetwater County — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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