Kevan Michael Holland
Nurse Practitioner, Gerontology in Orlando, FL. Individual provider (NPI-1).
NPI number1164060547
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1164060547
- Entity type
- Individual (NPI-1)
- Name
- Kevan Michael Holland
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2019
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN11006155 | FL | Yes |
| 163W00000X | Registered Nurse | RN9421121 | FL |
Practice location
601 E Rollins StOrlando, FL 32803-1248
Phone 407-303-7283
Mailing address
2501 N Orange Ave Ste 401Orlando, FL 32804-4644
Phone 407-303-7283
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All 76 Gerontology Nurse Practitioner providers in Orlando · All 33,121 providers in Orlando
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