Individual
MIRANDA HOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-1559
Mailing address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-1559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1448
KY
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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