Individual
KATHERINE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 ARCH ST, JOHNSON CITY, NY 13790-2102
(607) 763-6075
(607) 763-5234
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6075
(607) 763-5234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
262768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03371648
—
NY
01
—
226314
MEDICAL LICENSE
MA
01
—
262768
LICENSE
NY
Enumeration date
09/30/2005
Last updated
02/09/2015
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