Individual
MRS. HOLLY L KINAHAN
Active
Individual
MRS. HOLLY L KINAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
648193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199456501
—
TX
01
—
8Y9633
BCBS
TX
Enumeration date
01/08/2009
Last updated
10/03/2011
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