Provider Demographics
NPI:1487044434
Name:HOLDEN, KATHERINE PRESCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:PRESCOTT
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1749
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-1749
Mailing Address - Country:US
Mailing Address - Phone:860-480-3700
Mailing Address - Fax:
Practice Address - Street 1:VASSAR STUDENT HEALTH SERVICES
Practice Address - Street 2:BOX 017 VASSAR COLLEGE, 124 RAYMOND AVE.
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12604-0002
Practice Address - Country:US
Practice Address - Phone:845-437-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156378-1261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service