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Contact Information

KELLY A HOLDEN
10713 32ND AVE N
PLYMOUTH, MN55441-3001
 Phone: 612-709-3102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELLY A HOLDEN · (Female)

NPI Number 1144973397
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2022
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 18159
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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