Individual
MS. HOLLY RENEE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE J111, LEXINGTON, KY 40536-0001
(859) 323-6950
Mailing address
740 S LIMESTONE J111, LEXINGTON, KY 40536-0001
(859) 323-6950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4424
TN
363A00000X
Physician Assistant
Primary
PA1955
KY
363AM0700X
Medical Physician Assistant
PA1955
KY
363AS0400X
Surgical Physician Assistant
PA1955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063408
—
TN
Enumeration date
09/06/2014
Last updated
09/13/2024
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