Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | 04-40215 | KS |
Y | 2080P0216X | Pediatric Rheumatologist | 2017020518 | MO |
NPI | 1346565231 |
---|---|
Provider Name | Dr. Michael James Holland |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2010 |
Last Update Date | 02/08/2017 |