Holden, Kenzi Baird
Holden, Kenzi Baird is an individual health care provider with primary practice located at 2150 Main Street , Springfield MA 01104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holden, Kenzi Baird can be contacted via phone (413) 739-5676.Contact Information
Primary practice address
2150 Main Street
Springfield MA 01104
Phone: (413) 739-5676
Fax: (413) 733-5860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA5082 | Massachusetts |
Profile Details
| NPI number | 1952718678 |
|---|---|
| LBN Legal business name | Holden, Kenzi Baird |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2014 |
| Last updated | Jun 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952718678 | NPPES |
| Massachusetts | MEDICAID | 110110782A |
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