Individual
HOLLY KATLIN SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
10100 SOUTHERN CREEK DR, OKLAHOMA CITY, OK 73165-9719
(405) 651-2904
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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