| Doctor Name: | HOLLY K. KEGEL |
| NPI Number: | 1114238656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CG 60153337 |
| Business Practice Address: | 605 S. Coolidge Street Moses Lake, WA - 98837 |
| Business Phone Number: | 5097650674 |
| Business Fax Number: | 5097640344 |
| Mailing Address: | 605 S. Coolidge Street, MOSES LAKE |
| State: | WA |
| Postal Code: | 988371863 |
| Phone Number: | 5097650674 |
| Fax Number: | 5097640344 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CG 60153337 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |