Individual
KATHLEEN M HOLLAND
Inactive
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1436 SIDNEY BAKER, KERRVILLE, TX 78028-2725
(830) 896-2812
(830) 896-5255
Mailing address
1436 SIDNEY BAKER, KERRVILLE, TX 78028-2725
(830) 896-2812
(830) 896-5255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F8161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264301-04
—
TX
05
—
126430102
—
TX
Enumeration date
06/14/2005
Last updated
10/28/2008
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