Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME43963 | FL |
NPI | 1174681373 |
---|---|
Provider Name | Dr. Kay F Holmes |
First Address | Jacksonville, FL 32211-7259 |
Second Address | Jacksonville, FL 32216-1109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D51035 | (02) | FL |