Individual
MS. KENZI BAIRD HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 733-5860
Mailing address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 733-5860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110110782A
—
MA
Enumeration date
07/15/2014
Last updated
06/03/2021
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