Provider Demographics
NPI:1245105121
Name:HOLLY-BIXBY, KATHY LYNN (BA)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:LYNN
Last Name:HOLLY-BIXBY
Suffix:
Gender:F
Credentials:BA
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Mailing Address - Street 1:2346 REINHARDT CT
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-2293
Mailing Address - Country:US
Mailing Address - Phone:608-235-7900
Mailing Address - Fax:608-562-3975
Practice Address - Street 1:304 BICKFORD ST
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:WI
Practice Address - Zip Code:53950-1533
Practice Address - Country:US
Practice Address - Phone:608-562-3976
Practice Address - Fax:608-562-3975
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical