Individual
DR. MARIUM GRACE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MS 2028, KANSAS CITY, KS 66160-7316
(713) 500-6462
Mailing address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-8500
(913) 588-6200
(913) 588-6271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
04-36471
KS
207V00000X
Obstetrics & Gynecology Physician
N0838
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
04-36471
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199883301
—
TX
01
—
8F9686
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/14/2007
Last updated
01/10/2022
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