Kathleen E Holmes (NPI# 1619133535, PAC ID# 0446499644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1619133535 |
| PAC ID by PECOS | 0446499644 |
| Professional Enrollment ID | I20130619000528 |
| Full Name | Kathleen E Holmes |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Address |
7100 Shady Oak Rd Eden Prairie MN 55344-3517 |
| Phone Number | 9529432900 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 2668494436 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7100 Shady Oak Rd, Eden Prairie, MN 55344-3517 | 9529432900 | INNOVATIVE THERAPY LLC |
| 10000 51st Ave N, Asplin Center, Plymouth, MN 55442-3203 | 9523523978 | INNOVATIVE THERAPY LLC |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey Marie Ohumukini | Occupational Therapy | Innovative Therapy LLC | 5480 Nathan Ln N, 140 Karlins Center, Plymouth, MN 55442-1995 |
| Linda Kay Fairchild | Occupational Therapy | Innovative Therapy LLC | 16820 197th Ave Nw, Options Inc, Big Lake, MN 55309-4828 |
| Street Address |
7100 SHADY OAK RD |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55344-3517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas G Frey | Psychologist, Clinical | 7525 Mitchell Rd, Suite 217, Eden Prairie, MN 55344-1957 | |
| Brent Alexander Kvam | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Jordan Boekhout | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Katherine E Kearney-bidwell | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Dillon Andrew Riehle | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Mallory A Skoff | Chiropractic | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 | |
| Elizabeth A Crowl | Physician Assistant | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Quincee Lynn Macgibbon | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Stephanie Augustin | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Robert J Zajac | Pediatric Medicine | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Find all physicians in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | EDEN PRAIRIE + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Kathleen E Holmes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.