Hollowood, Kathleen

Hollowood, Kathleen is an individual health care provider with primary practice located at 3015 N Ballas Rd , Saint Louis MO 63131-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hollowood, Kathleen can be contacted via phone (314) 996-5330.

Contact Information

Primary practice address
3015 N Ballas Rd Saint Louis MO 63131-2329
Phone: (314) 996-5330
Fax: (314) 810-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 044030 Missouri

Profile Details

NPI number 1083686885
LBN Legal business name Hollowood, Kathleen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Oct 17th, 2007 - about 17 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 1083686885 NPPES
Missouri MEDICAID 912778214

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