Holly Sue Flynn, LMP
Individual provider Active NPI Contractor · Port Orchard, WA
NPI 1003008863 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1003008863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA00014461 (WA)
- Practice address
- 1963 Bethel Rd SE
Port Orchard, WA 98366-3108 - Phone
- (360) 710-7747
- Fax
- (360) 895-0447
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00014461 | WA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Center Inc PS | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA00014461 | WA | Yes |
Addresses
Primary practice location
1963 Bethel Rd SE
Port Orchard, WA 98366-3108
Mailing address
PO Box 1222
Port Orchard, WA 98366
Phone (360) 710-7747
Other providers in Port Orchard, WA
- Devin Courtney Fisher
- Candace A Fitzpatrick
- Cristie Joi Flatt
- Aurelia Flores
- Fly True Midwifery LLC
- Rebekah Foelker
- Joella Elizabeth Folk Pettigrew
- Stephanie S Forsberg
- Jeanne Kaye Forshaw
- Fiaer Foster
All providers in Port Orchard, WA · Contractor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.