Provider Information
Last Updated : Aug 14 2024 4:02 PM
Kaitlyn Holmes
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Holmes |
First Name Kaitlyn |
Address 530 E Herndon Ave Ste 105 |
State CA |
Zip Code 93720 |
Phone (855)223-7123 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 906426 |
Section Number A |
County FRESNO |
Accepting New Patient No |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1336612316 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMTBL_IND T |
License ID BCB51990 |
Email sacramentoars@maxhealth.com |
Board Certified No |
Self Access Flag Self Reported Data |