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Individual

DR. MARILYN KAY HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1550
KS
152W00000X
Optometrist
334
AK
152W00000X
Optometrist
3846
CO
152W00000X
Optometrist
Primary
OD61684652
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100346290D
KS
01
13089
PHS
KS
01
2062367
FIRST HEALTH
01
398580
FIRSTGUARD
KS
01
651065
BCBS
KS
Enumeration date
09/13/2005
Last updated
08/18/2025
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