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General NPI Number Information
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NPI Number | 1366309478
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Entity Type | Individual
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Provider Name | KAYA HOLBROOK RN
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Gender |
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 65 MAIN ST
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City | WHITESBURG
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State | KY
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Zip | 41858-7313
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Country | US
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Telephone | 606-634-4015
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | ERMINE
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State | KY
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Zip | 41815-0119
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Country | US
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Telephone | 606-634-4015
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1175904
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License Number State | KY
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