Individual
MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2016009496
MO
207VG0400X
Gynecology Physician
Primary
2016009496
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016009496
MEDICAL LICENSE
MO
Enumeration date
06/25/2012
Last updated
01/10/2025
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