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Holly Renee Nummerdor, DO
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1114504545

Holly Renee Nummerdor is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Holly Renee Nummerdor practices in Kingsport, TN and has the professional credentials of DO. The NPI Number for Holly Renee Nummerdor is 1114504545 and holds a License No. (Tennessee).

The current practice location address for Holly Renee Nummerdor is 102 E Ravine Rd, Kingsport, TN and can be reached out via phone at 920-210-5194.

Location: 102 E Ravine Rd, Kingsport, TN, 37660-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114504545
Provider Name
Holly Renee Nummerdor
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
102 E Ravine Rd, Kingsport, TN, 37660-3814
Phone Number
920-210-5194
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
920-210-5194
Fax Number
person
Provider Business Mailing Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
920-210-5194
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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