Provider Demographics
NPI:1275768079
Name:KIRBY, HOLLIE ELIZABETH (MS, RD/LD)
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:ELIZABETH
Last Name:KIRBY
Suffix:
Gender:F
Credentials:MS, RD/LD
Other - Prefix:
Other - First Name:HOLLIE
Other - Middle Name:ELIZABETH
Other - Last Name:SOLNOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11048 FOLKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8050
Mailing Address - Country:US
Mailing Address - Phone:405-740-4224
Mailing Address - Fax:
Practice Address - Street 1:11048 FOLKSTONE DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8050
Practice Address - Country:US
Practice Address - Phone:405-740-4224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1527133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered