| NPI | 1497196323 |
|---|---|
| Former Name | KATHERINE MARIE HOLLENKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9385) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9385) |
| 122300000X Dentist (Licence: OH 30-024013) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-04-29 |