Provider / Organization | NPI | Date Certified |
---|---|---|
KYLE HOLLAND | 1598369456 | 2021-06-08 |
Kyle Holland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598369456. Registration indicates Kyle Holland is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
Entity Type | Individual |
Provider Name | Kyle Holland ATC |
Practice Office Address | 651 N OLD COACHMAN RD CLEARWATER, FL US |
Practice Office Telephone | 7277124340 |
Mailing Address | 110 OLD WASHINGTON ST PEMBROKE, MA 023592709 US |
Code | Practice | License No State |
---|---|---|
2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |