Individual
HOLLY KIMMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6351 W LAKE RD, ERIE, PA 16505-2676
(814) 838-9191
Mailing address
6351 W LAKE RD, ERIE, PA 16505-2676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN335640L
PA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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