Provider Demographics
NPI:1952985343
Name:HOLFORD, KELLY-ANN LOUISE (FNP)
Entity type:Individual
Prefix:MRS
First Name:KELLY-ANN
Middle Name:LOUISE
Last Name:HOLFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 JAMES COLEMAN DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3147
Mailing Address - Country:US
Mailing Address - Phone:361-237-0483
Mailing Address - Fax:
Practice Address - Street 1:101 JAMES COLEMAN DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3147
Practice Address - Country:US
Practice Address - Phone:361-220-7998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily