Provider Demographics
NPI:1588483887
Name:HOLT, KIARA DENISE (PHLEBOTOMY TECH)
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:DENISE
Last Name:HOLT
Suffix:
Gender:F
Credentials:PHLEBOTOMY TECH
Other - Prefix:MRS
Other - First Name:KIARA
Other - Middle Name:DENISE
Other - Last Name:HAYNESWORTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHLEBOTOMY TECH
Mailing Address - Street 1:3962 LILYVALE DR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3924
Mailing Address - Country:US
Mailing Address - Phone:614-517-9108
Mailing Address - Fax:
Practice Address - Street 1:3962 LILYVALE DR UNIT 104
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3924
Practice Address - Country:US
Practice Address - Phone:614-517-9108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy