Provider Demographics
NPI:1427263342
Name:HOLSINGER, KRISTY LYNN
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LYNN
Last Name:HOLSINGER
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 1:357 OPAL DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907
Mailing Address - Country:US
Mailing Address - Phone:419-961-7882
Mailing Address - Fax:
Practice Address - Street 1:780 W STRAUB RD
Practice Address - Street 2:APT 1-B
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44904
Practice Address - Country:US
Practice Address - Phone:419-756-4045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2634537OtherIP NUMBER