Provider Demographics
NPI:1093958910
Name:TIMMONS, KATHRYN HOLLAND (MSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HOLLAND
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100296
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-273-6083
Mailing Address - Fax:352-294-8088
Practice Address - Street 1:1700 SW 16TH AVE BLDG B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1516
Practice Address - Country:US
Practice Address - Phone:352-273-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker