Provider Demographics
NPI:1356567143
Name:HOLDEN, KARA JUNE (DC)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:JUNE
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 COUNTRY CLUB PL
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7703
Mailing Address - Country:US
Mailing Address - Phone:928-763-9131
Mailing Address - Fax:
Practice Address - Street 1:1868 HIGHWAY 95
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-6804
Practice Address - Country:US
Practice Address - Phone:928-763-8313
Practice Address - Fax:928-763-7995
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor