Individual
ANITA KAYE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
209 W 15TH ST, HOPKINSVILLE, KY 42240-2035
(270) 886-8928
(270) 886-4773
Mailing address
PO BOX 704, HOPKINSVILLE, KY 42241-0704
(270) 886-8928
(270) 886-4773
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY0683
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52000148
—
KY
Enumeration date
12/01/2006
Last updated
08/10/2014
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