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Individual

KRISTY LEANN HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10825 OLD HIGHWAY 64, BOLIVAR, TN 38008-3599
(731) 658-5291
Mailing address
1675 ESSARY SPRINGS RD, POCAHONTAS, TN 38061-5633
(731) 609-2086
(731) 376-1245

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125285
TN

Other

Enumeration date
12/07/2010
Last updated
12/08/2010
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