Most Relevant Information
Provider Data
| NPI Number: | 1003262734 |
| Provider Name: | KATHLEEN SUE HOLETS NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | R 122631 7 |
Most Important Dates
| Enumeration Date: | 05/12/2016 |
| Last Updated: | 05/12/2016 |
Provider Practice Location
1935 COUNTY ROAD B2 W
SUITE 64
ROSEVILLE
MN
551132729
Practice Location Phone/Fax
| Phone: | 6124659270 |
| Fax: |
Provider Mailing Location
1058 BARRETT ST
SAINT PAUL
MN
551031313
Provider Mailing Phone/Fax
| Phone: | 6516007715 |
| Fax: |