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NPI Code Detail

MEDICARE: KATHY L HOLIAN PA-C

MEDICARE: KATHY L HOLIAN PA-C
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
1363A00000XPhysician AssistantMA-002998-LPA

General Provider Information

NPI Number : 1356565915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY L HOLIAN PA-C
Provider Business Mailing Address
First Line : 7474 GREENWAY CENTER DR STE 700A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3523
Country : US
Telephone Number : 301-982-3437
Fax Number :
Provider Business Practice Location Address
First Line : 7474 GREENWAY CENTER DR STE 700A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3523
Country : US
Telephone Number : 301-982-3437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/10/2023

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Directions to “ KATHY L HOLIAN PA-C” Practice Location

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