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Individual

KATHERINE KUSTES HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4915 NORTON HEALTHCARE BLVD STE 203, LOUISVILLE, KY 40241-2861
(502) 423-9595
(502) 719-0161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9408
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0185113
CO
163W00000X
Registered Nurse
1133433
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
3007804
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3007804
LICENSE
KY
05
7100349330
KY
Enumeration date
12/06/2012
Last updated
02/06/2023
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