Individual
MRS. HOLLY A MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
249 MAIN ST, CADIZ, KY 42211-9154
(270) 206-7114
Mailing address
PO BOX 1724, CADIZ, KY 42211
(270) 522-0898
(270) 522-5636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004005
KY
363LF0000X
Family Nurse Practitioner
4005P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010816
—
KY
Enumeration date
05/16/2006
Last updated
03/31/2020
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