Holliday-Jech, Kathleen

Holliday-Jech, Kathleen is an individual health care provider with primary practice located at 1850 Beam Ave , Maplewood MN 55109-1162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Holliday-Jech, Kathleen can be contacted via phone (651) 241-9500.

Contact Information

Primary practice address
1850 Beam Ave Maplewood MN 55109-1162
Phone: (651) 241-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R1086528 Minnesota

Profile Details

NPI number 1124059662
LBN Legal business name Holliday-Jech, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 10th, 2020 - about 6 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 1124059662 NPPES
Minnesota MEDICAID 283044200

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