Provider Demographics
NPI:1588305908
Name:HOLMES, BRIGID (AUD)
Entity type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BRIGID
Other - Middle Name:
Other - Last Name:DERBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-880-2675
Mailing Address - Fax:
Practice Address - Street 1:120 NE SAINT LUKES BLVD FL 3
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6000
Practice Address - Country:US
Practice Address - Phone:816-347-4890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021048834231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist