Individual
PAUL KEITH HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 OFFICE PARK DR, COLUMBIA, KY 42728-1392
(270) 380-1601
Mailing address
341 OFFICE PARK DR, COLUMBIA, KY 42728-1392
(270) 380-1601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
05/21/2024
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