Holliman, Kerry D
Holliman, Kerry D is an individual health care provider with primary practice located at 12200 Renfert Way Ste G-3 , Austin TX 78758-5654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Holliman, Kerry D can be contacted via phone (512) 821-2540.Contact Information
Primary practice address
12200 Renfert Way Ste G-3
Austin TX 78758-5654
Phone: (512) 821-2540
Fax: (512) 776-1956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | S9517 | Texas |
Profile Details
| NPI number | 1528080892 |
|---|---|
| LBN Legal business name | Holliman, Kerry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Feb 10th, 2022 - about 2 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 | 1528080892 | NPPES |
| Georgia | MEDICAID | 465286789B |
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