Individual
MR. KEITHAN HOLIDAY
Active
Individual
MR. KEITHAN HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
921047101
CO
174H00000X
Health Educator
147827
CO
376K00000X
Nurse's Aide
Primary
NA00720741
CO
Other
Enumeration date
03/04/2021
Last updated
04/30/2024
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