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Individual

RICKY L HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(918) 588-6111
Mailing address
3901 RAINBOW BLDV, KANSAS CITY, KS 66160
(913) 588-6111

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
04-27049
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P0003407
RAILROAD MEDICARE
MI
Enumeration date
08/13/2006
Last updated
08/17/2022
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