Most Relevant Information
Provider Data
| NPI Number: | 1003371980 |
| Provider Name: | KATHERINE ANNE HOLLENBECK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WD0400X |
| Specialty: | Registered Nurse |
| License Number: | 82883 |
Most Important Dates
| Enumeration Date: | 02/05/2019 |
| Last Updated: | 02/05/2019 |
Provider Practice Location
859 E MELTON DR
JAY
OK
743462704
Practice Location Phone/Fax
| Phone: | 9182531738 |
| Fax: |
Provider Mailing Location
859 E MELTON DR
JAY
OK
743462704
Provider Mailing Phone/Fax
| Phone: | 9182531738 |
| Fax: |