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Individual

KAITLYN HOLTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17657-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17657-EX1
OHIO BOARD OF NURSING
OH
01
17657-NP
OHIO BOARD OF NURSING
OH
Enumeration date
06/29/2015
Last updated
09/04/2018
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