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Individual

KRISTY R HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1410 LONG RUN ROAD, LOUISVILLE, KY 40245-4334
(502) 244-8011
(502) 244-6631
Mailing address
1410 LONG RUN RD, LOUISVILLE, KY 40245-4334
(502) 244-8011
(502) 244-6633

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3356
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000288920
ANTHEM
05
7100094570
KY
Enumeration date
01/18/2008
Last updated
07/30/2013
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