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NPI Code Detail

MEDICARE: KRISTEN L HOLLAND M.D.

MEDICARE: KRISTEN L HOLLAND M.D.
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
1207Q00000XFamily Medicine Physician4346SD
2207Q00000XFamily Medicine Physician53028MN
3207Q00000XFamily Medicine Physician20794NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487619250
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN L HOLLAND M.D.
Provider Business Mailing Address
First Line : PO BOX 8674
Second Line :
City : MANKATO
State : MN
Zip : 56002-8674
Country : US
Telephone Number : 507-625-1811
Fax Number : 507-625-4754
Provider Business Practice Location Address
First Line : 1901 OLD MINNESOTA AVE
Second Line :
City : SAINT PETER
State : MN
Zip : 56082-1763
Country : US
Telephone Number : 507-625-1811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 04/08/2026

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