Individual
KACEY L HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
726 80TH AVE NW, HALLIDAY, ND 58636-4001
(701) 938-4540
Mailing address
726 80TH AVE NW, HALLIDAY, ND 58636-4001
(701) 938-4540
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R51283
ND
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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