Individual
KAITLIN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 HARMONIA RD, SPRINGFIELD, MI 49037-7688
(941) 780-3964
Mailing address
1822 HARMONIA RD, SPRINGFIELD, MI 49037-7688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120641
MI
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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