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Individual

KASEY JEAN HOLLENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1205 AUDUBON PKWY, LOUISVILLE, KY 40213-1236
(502) 439-2617
Mailing address
1701 SPRING ST STE B, JEFFERSONVILLE, IN 47130-2930

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1128381
KY
363LF0000X
Family Nurse Practitioner
Primary
71007701A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300017592
IN
Enumeration date
06/22/2015
Last updated
03/02/2026
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