Holland, Kathleen V

Holland, Kathleen V is an individual health care provider with primary practice located at 4601 Ramsey St , Fayetteville NC 28311-2138. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Holland, Kathleen V can be contacted via phone (910) 488-4674.

Contact Information

Primary practice address
4601 Ramsey St Fayetteville NC 28311-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1567 North Carolina

Profile Details

NPI number 1790733384
LBN Legal business name Holland, Kathleen V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 4th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790733384 NPPES
North Carolina MEDICAID 890904Y

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