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Contact Information

KRISTEL B HOLMBLAD, MD, MPH
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-1000
 Fax: 601-815-1050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KRISTEL B HOLMBLAD · (Female)

NPI # 1104052661
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 06/10/2009
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • AR License # E-15254
  • CA License # A145173
  • MS License # 36289
  • PA License # MD450033
  • WA License # TD60599824
  • CA Medicaid 1104052661
  • WA Medicaid 1104052661
  • WA Other P01683022 RR PTAN WVH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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