Individual
KATHRYN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218269-6
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
6001
MN
Other
Enumeration date
02/03/2014
Last updated
08/30/2018
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