Doctor Name: | MRS. HOLLY A MCCORMICK |
NPI Number: | 1346291994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 4005P |
Business Practice Address: | 214 Main St Cadiz, KY - 42211 |
Business Phone Number: | 2705220898 |
Business Fax Number: | 2705225636 |
Mailing Address: | Po Box 1724, CADIZ |
State: | KY |
Postal Code: | 42211 |
Phone Number: | 2705220898 |
Fax Number: | 2705225636 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4005P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |