Individual
HOLLY A KENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-8619
(614) 293-6420
Mailing address
320 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-8619
(614) 293-6420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.349162
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.11710-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107113
—
OH
Enumeration date
10/18/2010
Last updated
02/25/2013
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