Individual
MR. ROBERT HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754
(270) 274-0480
(270) 274-0482
Mailing address
1100 RIVERWOOD RD, MURRAY, KY 42071-9393
(270) 705-7368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
106744
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3009649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100378870
—
KY
Enumeration date
08/05/2015
Last updated
08/02/2018
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