Individual
KATHY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
30999 COUNTY RD 15, FORT LYON, CO 81038
(719) 456-3550
Mailing address
501 N 8TH ST, ROCKY FORD, CO 81067-1215
(719) 254-6046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
162801
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162801
ADVANCED PRACTICE RN
CO
Enumeration date
10/21/2005
Last updated
07/08/2007
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