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Individual

DR. KARMEN M HOLDINGHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003082
VA
152W00000X
Optometrist
2528
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03051719
MS
05
191619722
AR
05
3946305
TN
01
4092572
BCBS
TN
Enumeration date
07/21/2005
Last updated
11/12/2021
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