Provider Demographics
NPI:1700896578
Name:HOLLAND, PAMELA (MD)
Entity Type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:
Last Name:HOLLAND
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 1:3439 BUCKHORN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1716
Mailing Address - Country:US
Mailing Address - Phone:859-368-8820
Mailing Address - Fax:859-368-8862
Practice Address - Street 1:3439 BUCKHORN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1716
Practice Address - Country:US
Practice Address - Phone:859-368-8820
Practice Address - Fax:859-368-8862
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2015-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39616207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine