Individual
DR. KERRY JOHN HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1000
(714) 795-6829
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A88891
CA
Other
Enumeration date
01/17/2006
Last updated
07/08/2024
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