Provider Demographics
NPI:1225828593
Name:HOLTZ, KATELYNN MARIE
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:MARIE
Last Name:HOLTZ
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 1:2111 ROAD L
Mailing Address - Street 2:
Mailing Address - City:BENEDICT
Mailing Address - State:NE
Mailing Address - Zip Code:68316-9046
Mailing Address - Country:US
Mailing Address - Phone:402-710-0274
Mailing Address - Fax:
Practice Address - Street 1:2208 N WEBB RD UNIT 4
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1756
Practice Address - Country:US
Practice Address - Phone:308-381-1690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider