Provider Demographics
NPI:1619381209
Name:HOLLAND, KATHLEEN JOAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:JOAN
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:KATHLEEN
Other - Middle Name:JOAN
Other - Last Name:CORNFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1155 MILL ST # MS 14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-3900
Practice Address - Street 1:75 PRINGLE WAY STE 505
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1469
Practice Address - Country:US
Practice Address - Phone:775-329-4600
Practice Address - Fax:775-329-4992
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20499207RG0100X, 2080P0206X
IN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20499OtherMEDICAL LICENSE