Provider Demographics
NPI:1306099544
Name:HOLVEY, KAREN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HOLVEY
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 1:16785 BEACH BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4855
Mailing Address - Country:US
Mailing Address - Phone:714-841-7422
Mailing Address - Fax:714-841-4942
Practice Address - Street 1:16785 BEACH BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4855
Practice Address - Country:US
Practice Address - Phone:714-841-7422
Practice Address - Fax:714-841-4942
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor