Holder, Brenda Ann

Holder, Brenda Ann is an individual health care provider with primary practice located at 3479 Buckhorn Dr , Lexington KY 40515-1114. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Holder, Brenda Ann can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
3479 Buckhorn Dr Lexington KY 40515-1114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Kentucky

Profile Details

NPI number 1326575259
LBN Legal business name Holder, Brenda Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated May 23rd, 2017 - about 7 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 1326575259 NPPES
Kentucky MEDICAID 1790731081

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