person
Kaleb J Holliman
Military Health Care Provider in Bentonville, Arkansas
NPI 1932628229

Kaleb J Holliman is a Military Health Care Provider based in Springdale, AR. Kaleb J Holliman practices in Bentonville, AR. The NPI Number for Kaleb J Holliman is 1932628229 and holds a License No. (Arkansas).

The current practice location address for Kaleb J Holliman is 2003 Se Walton Blvd, Bentonville, AR and can be reached out via phone at 479-725-6000 and via fax at 479-750-4843. You can also correspond with Kaleb J Holliman through the mailing address at 2400 S 48TH ST, SPRINGDALE, AR - 72762-6683 (mailing address contact number: 479-750-2020).

Location: 2003 Se Walton Blvd, Bentonville, AR, 72762-6683
person
Provider Profile Details
NPI Number
1932628229
Provider Name
Kaleb J Holliman
Credential
Provider Entity Type
Individual
Gender
Male
Address
2003 Se Walton Blvd, Bentonville, AR, 72762-6683
Phone Number
479-725-6000
Fax Number
479-750-4843
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2003 Se Walton Blvd
City
State
Zip
72712-3725
Phone Number
479-725-6000
Fax Number
479-750-4843
person
Provider Business Mailing Address Details
Address
2003 Se Walton Blvd
City
State
Zip
72712-3725
Phone Number
479-725-6000
Fax Number
479-750-4843
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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