Holt, Kelly L

Holt, Kelly L is an individual health care provider with primary practice located at 2512 Hurst Dr. , Mattoon IL 61938-9388. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holt, Kelly L can be contacted via phone (217) 258-5900.

Contact Information

Primary practice address
2512 Hurst Dr. Mattoon IL 61938-9388
Phone: (217) 258-5900
Fax: (217) 258-5904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-335540 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007570 Illinois

Profile Details

NPI number 1407006828
LBN Legal business name Holt, Kelly L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Nov 26th, 2014 - about 11 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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