Provider Demographics
NPI:1740962463
Name:KALINAY, HOLLY ANN
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ANN
Last Name:KALINAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 CORNFIELD WAY APT 302
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-7233
Mailing Address - Country:US
Mailing Address - Phone:570-846-1029
Mailing Address - Fax:
Practice Address - Street 1:649 CORNFIELD WAY APT 302
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-7233
Practice Address - Country:US
Practice Address - Phone:570-846-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN626717363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health