Kimberly Shaw Lumpkin Holt, ATC
Specialist/Technologist, Athletic Trainer in Annapolis, MD. Individual provider (NPI-1).
NPI number1164540597
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164540597
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Shaw Lumpkin Holt
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
113 Duke Of Gloucester StAnnapolis, MD 21401-2528
Phone 410-990-4233
Mailing address
939 Barracuda Cove CtAnnapolis, MD 21409-4718
Phone 443-370-9833
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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