Kenneth Donovan Holmbeck

NPI #1053993774 in Medford, Oregon

Provider Information

NPI Number: 1053993774
Entity Type: Individual
Name: Kenneth Donovan Holmbeck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 22, 2021
Last Updated: Apr 22, 2021

Practice Location

Address: 3709 CITATION WAY
City: Medford
State: Oregon
ZIP Code: 97504-9022
Phone: (541) 500-6532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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