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Individual
MS. KIM RAYE HOLLAND
Active
Individual
MS. KIM RAYE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0051232
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175194700
DOL
OK
05
—
200051370A
—
OK
Enumeration date
09/16/2005
Last updated
09/19/2019
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