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Individual

MS. KIM RAYE HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2601 W ELK AVE, DUNCAN, OK 73533-1572
(580) 251-6644
(580) 251-6645
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0051232
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175194700
DOL
OK
05
200051370A
OK
Enumeration date
09/16/2005
Last updated
09/19/2019
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