Individual
MRS. HOLLY KAYE RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1330 MERCY DR NW STE 101, CANTON, OH 44708-2624
(330) 588-4676
(330) 588-4677
Mailing address
1330 MERCY DR NW STE 101, CANTON, OH 44708-2624
(330) 588-4676
(330) 588-4676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN.CNP.021895
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262564
—
OH
Enumeration date
02/06/2018
Last updated
01/22/2021
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