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NPI Code Detail

MEDICARE: KAYLA HOLLAND

MEDICARE: KAYLA HOLLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1093337297
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA HOLLAND
Provider Business Mailing Address
First Line : 321 E SKYVIEW DR
Second Line :
City : HINTON
State : OK
Zip : 73047-9182
Country : US
Telephone Number : 918-978-6280
Fax Number :
Provider Business Practice Location Address
First Line : 13401 RAILWAY DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-2272
Country : US
Telephone Number : 405-841-7826
Fax Number : 405-841-7827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2020
Last Update Date : 05/12/2026

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Directions to “ KAYLA HOLLAND ” Practice Location

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