Healthcare Provider Details

I. General information

NPI: 1720072820
Provider Name (Legal Business Name): KAREN ELIZABETH HOLEN D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN ELIZABETH BARCLAY DC

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 07/08/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W MICHIGAN AVE
CLINTON MI
49236-9502
US

IV. Provider business mailing address

PO BOX 616
CLINTON MI
49236-0616
US

V. Phone/Fax

Practice location:
  • Phone: 517-456-7411
  • Fax:
Mailing address:
  • Phone: 517-456-7411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number8654DC
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4285
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH-60806257
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: