| Doctor Name: | DR. HOLLY MARIE MCKIEL |
| NPI Number: | 1922396837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | OT014307 |
| Business Practice Address: | 10510 Jefferson Ave Suite D Newport News, VA - 236013102 |
| Business Phone Number: | 7575944720 |
| Business Fax Number: | |
| Mailing Address: | 500 J Clyde Morris Blvd, NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236011929 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OT014307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |