Doctor Name: | MRS. KATHY ANN HOLLAND |
NPI Number: | 1265666879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN0000117628 |
Business Practice Address: | Bldg 301, Andrews Ave Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
Business Phone Number: | 3342557113 |
Business Fax Number: | 3342557368 |
Mailing Address: | Bldg 301, Andrews Ave, Lyster Army Health Clinic FORT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342557113 |
Fax Number: | 3342557368 |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN0000117628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |