1427012137 NPI number — MRS. ELIZABETH P HOLCOMB ARNP

Table of content: MRS. ELIZABETH P HOLCOMB ARNP (NPI 1427012137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427012137 NPI number — MRS. ELIZABETH P HOLCOMB ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLCOMB
Provider First Name:
ELIZABETH
Provider Middle Name:
P
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
POWELL
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ARNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427012137
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2357
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PADUCAH
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-444-9625
Provider Business Mailing Address Fax Number:
270-575-5458

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
916 KENTUCKY AVE
Provider Second Line Business Practice Location Address:
PADUCAH-MCCRACKEN COUNTY HEALTH CENTER
Provider Business Practice Location Address City Name:
PADUCAH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42003-1955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-444-9631
Provider Business Practice Location Address Fax Number:
270-442-8769
Provider Enumeration Date:
04/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  RN 1046991 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363L00000X , with the licence number: ARNP 2120P , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)