Individual
MR. KEITH FRANCIS HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1434 PORTER ST, FREDERICK, MD 21702-9210
(301) 619-0345
Mailing address
125 SEURAT LN, MARTINSBURG, WV 25401-7683
(304) 262-2559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001171808
VA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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