Individual
KAYLEE HOLLEY
Active
Individual
KAYLEE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHT
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
HC60338159
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC60338159
—
WA
05
—
HT60369858
—
WA
Enumeration date
04/06/2020
Last updated
04/06/2020
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