Individual
DR. KASEY MICHELLE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Mailing address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4661
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16007001
—
AR
Enumeration date
04/12/2007
Last updated
10/04/2013
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