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

Garrick Kenneth Holt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902680325

Garrick Kenneth Holt is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1255 W Baseline Rd Ste 138
Mesa, AZ 85202-5821
Phone: (480) 662-1923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1902680325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing addressPo Box 194, Tonto Basin, AZ 85553-0194

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