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Individual

KELSEY C HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
777 NORTH STREET, PITTSFIELD, MA 01201
(413) 499-8531
(413) 499-8560
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2291494
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110111800A
MA
Enumeration date
08/19/2015
Last updated
10/27/2017
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