Individual
MRS. KATHY ANN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
BLDG 301, ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7113
(334) 255-7368
Mailing address
BLDG 301, ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7113
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN0000117628
TN
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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