Prosser, Holly

Prosser, Holly is an individual health care provider with primary practice located at 2220 Young Dr , Lexington KY 40505-4219. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Prosser, Holly can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
2220 Young Dr Lexington KY 40505-4219
Fax: (859) 254-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1078226 Kentucky

Profile Details

NPI number 1831221563
LBN Legal business name Prosser, Holly
Credentials RN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2007 - about 18 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 1831221563 NPPES
Kentucky MEDICAID 30615058

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