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Individual
KELLE N. HOLGORSEN
Active
Individual
KELLE N. HOLGORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102714
NC
363AM0700X
Medical Physician Assistant
1482
CO
Other
Enumeration date
11/10/2006
Last updated
06/15/2025
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