Marcel Leon Hollis, RD
Individual provider Active NPI Registered Dietitian · Kotzebue, AK
NPI 1982329322 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1982329322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 199720 (AK)
- Practice address
- 436 5TH Ave
Kotzebue, AK 99752 - Phone
- (907) 442-3321
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199720 | AK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Past |
Accepting new patients | |
| Maniilaq Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 199720 | AK | Yes |
Addresses
Primary practice location
436 5TH Ave
Kotzebue, AK 99752
Mailing address
PO Box 256
Kotzebue, AK 99752-0256
Phone (907) 442-7323
Other names
- Marcel Leon Hollis
Other providers in Kotzebue, AK
- Omari Hester
- Chisana Hildreth
- Michelle Hinton
- Renetta L Hobson
- Augustina Hoffman
- Eva Horner
- Jolene Huffman
- Steve Hulley
- Abbryanna Hunnicutt
- Victoria Hunt
All providers in Kotzebue, AK · Registered Dietitian in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. 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.