Individual
KIYO PHENIQUE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872814
MS
Other
Enumeration date
09/06/2011
Last updated
10/24/2019
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